23例中晚期胰头癌临床分析

 我科于1980年12月－1992年3月收治及外出会诊治疗中晚期胰头癌患者23例,均经剖腹探查并病理证实。本组6例行胰头十二指肠切除术,1例局部切除,切除率为30．4％,切除组生存3年以上者4例,生存5年以上者3例,切除率低与病期较晚有关。8例患者作胆道内引流术,4例追加行胃空肠吻合术,3例仅行剖腹探查术,1例作胆囊造疾术,16例不可切除患者平均生存时间5．2月,1年生存率仅18．8％,生存率极低。本文且对其临床特点、B超、CT的诊断价值、如何提高术中病理诊断的阳性率及手术切除率方面作了讨论

Clinical Analysis On 23 Cases With Cancer Of HeAd Of Pancreas

23 Cases with cancer of head of pancreas were treated in our hospital from 1980-1992. All cases were explotal by laporotomy and the diagnsis of all cases were comfirmed by histopathology. Of 23 cases, pancreatoduodenectimy was performed in six cases, local resection in one case, the resectable rate was 30.4%, the lower resectable rate was due to advanced stage in the most of patients. In the non-resection group,the average survival time was 5. 2 months, the one year survival rate was 18. 8 %. The clinical characteristics,the value of diagnosis of ultrosonic wave and CT, how to raise the positive rae of pathology and the resection rate were discussed in this article.