壶腹部周围癌94例临床分析

目的探讨壶腹部周围癌的诊断和治疗方法。方法回顾性分析我院2000年1月～2007年1月收治的壶腹部周围癌94例的临床资料。结果行胰十二指肠切除术者1、2、3、5年生存率分别为42．85％、28．75％、14．2％和9．52％；十二指肠肿瘤局部切除术者1、2、3年生存率分别为100％、50％和0；胆肠吻合、胃肠吻合手术者1年生存率为0。结论胰十二指肠切除术仍然是治疗壶腹部周围癌最有效的措施。对合并急性梗阻性胆管炎的病人建议二期手术治疗，可提高手术安全性。

Clinical analysis of 94 cases of carcinoma of ampulla

Objective To summarize the clinical experience of diagnosis and treatment for carcinoma of ampulla.Methods All 94 patients with carcinoma of ampulla in our hospital during the latest 7 years were reviewed retrospectively.Results The 1-,2-,3-and 5-year survival rate for pancreaticoduodenectomy was 42.85%,28.75%,14.2% and 9.52% respectively.The 1-,2-and 3-year survival rate for local excision of tumor was 100%,50% and 0.The 1-and 2-year survival rate for cholangiojejunostsmy plus gastrojejunostomy was 0.Conclusion Pancreaticoduodenectomy remains to be the most effective intervention for carcinoma of ampulla.The patients merging with acute obstructive suppurative cholangitis are recommended to reoperation for safety.