十二指肠乳头肿瘤的诊断与治疗

目的 探讨十二指肠乳头肿瘤的诊断与治疗。方法 分析1977-1999年经手术和病理检查证实的十二指肠乳头肿瘤22例的临床资料。结果 十二指肠乳头癌17例，十二指肠乳头状瘤5例，常见的临床表现为上腹隐痛不适（16例）和黄疸（22例）。钡餐，B超，CT以及ERCP对十十指肠乳头肿瘤有诊断价值。22例中19例行胰十二指肠切除术，3例行肿瘤局部切除术，切除率为100%，15例十二指肠乳头癌得到随访，随访率为88.2%,5年生存率为73.3%，7年生存率为47.7%。结论 十二指肠镜、ERCP是诊断本病的可靠方法，手术切除是治疗的主要手段。

Diagnosis and treatment of the duodenal papilla tumor

Objective To study the diagnosis and treatment of duodenal papilla tumor (DPT). Methods Analyses were made on the clinical data of 22 patients with DPT proved by operation and pathology from 1977 to 1999. Results There were 17 patients with duodenal papillary carcinoma, 5 with duodenal papilloma in this series. Discomfort of the upper abdomen (16 cases) and jaundice (22 cases) were the main symptoms. Barium meal examination, BUS, CT and ERCP were very useful in the diagnosis of DPT. In this series, 19 of 22 patients received pancreaticoduodenctomy, and 3 received local reseciton, the resection rate was 100%. 15 patients (88.2%) were followed up, the 5 years survival rate was 73.3%, 7 years survival rate was 46.7%. Conclusions Duodenoscope and ERCP are credible methods for diagnosis of this disease, resection is the main way of treatment.