| 胰体尾癌95例诊断与外科治疗分析 |
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| 引用本文： | 施长鹰,孙勇伟,吴婷婷,蒋春晖,罗蒙,吴志勇.胰体尾癌95例诊断与外科治疗分析[J].肝胆胰外科杂志,2009,21(4):263-266. |
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| 作者姓名： | 施长鹰 孙勇伟 吴婷婷 蒋春晖 罗蒙 吴志勇 |
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| 作者单位： | 上海交通大学医学院附属仁济医院,普外科,上海,200127 |
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| 摘 要： | 目的 探讨胰体尾癌的诊断与外科治疗以及影响预后的因素.方法 回顾性分析我院普外科2000年1月至2007年12月间收治的95例胰体尾癌患者的临床资料.结果 胰体尾癌的主要临床表现为中上腹胀痛、腰背部疼痛、恶心呕吐和消瘦、乏力.肿瘤标志物、B超、CT、MRCP、PET-CT等检查是诊断胰体尾癌的主要方法 ,各有特点.本组手术切除率为37.9%(36/95),其中根治性切除率为31.6%(30/95),姑息性切除6例(6.3%),姑息性旁路引流手术18例,26例仅行剖腹探查.根治性切除者生存期明显长于非根治性切除者(P<0.01),扩大根治术又较根治术有更长的生存期.行根治性切除患者中,有神经转移、淋巴结转移或切缘残留者术后生存期较短.结论 早期诊断,提高根治切除率,才有可能延长胰体尾癌患者的生存期.手术方式的选择对患者的预后有重要意义,根治术和扩大根治术可明显延长患者术后生存期.肿瘤是否有神经转移、淋巴转移及切缘有否残留是影响根治性手术预后的重要因素.
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| 关 键 词： | 胰体尾肿瘤 平均生存期 根治术 诊断 预后 |
Diagnosis and treatment of pancreatic body and tail carcinoma |
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| SHI Changying,SUN Yongwei,WU Tingting,et al..Diagnosis and treatment of pancreatic body and tail carcinoma[J].Journal of Hepatopancreatobiliary Surgery,2009,21(4):263-266. |
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| Authors: | SHI Changying SUN Yongwei WU Tingting |
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| Institution: | SHI Changying,SUN Yongwei,WU Tingting,et al. Department of General Surgery,Renji Hospital,Affiliated to Medical School of Shanghai Jiaotong University,Shanghai 200127 |
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| Abstract: | Objective To explore and discuss the diagnosis and treatment of pancreatic body and tail carcinoma and evaluate the factors influencing the prognosis after radical resection. Methods The clinical data of 95 patients with pancreatic body and tail carcinoma in Renji hospital from 2000 to 2007 were retrospectively analyzed. Results The main clinical manifestations were abdominal pain, backache, nausea and vomiting, emaciation and weakness. Tumor marker, ultrasonography, CT, MRCP were the main methods to diagno... |
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| Keywords: | pancreatic body and tail neoplasms mean survival time radical pancreatectomy diagnosis prognosis |
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