摘要
目的 探讨胃癌侵犯胰腺的手术治疗价值。方法 对 3 90例胃癌术前行电子胃镜 ,上腹B超 ,螺旋CT扫描 ,所有病例均接受外科手术 ,术中及术后病理证实胃癌侵犯胰腺 60例。术中行联合胰腺切除的胃癌根治术 3 3例 ,非根治术 2 7例。结果 CT扫描和B超提示侵犯胰腺术前诊断率分别为 72 .41%和 3 8.3 3 %。联合胰腺切除的根治手术和非根治术两组的生存期差异有显著性 ( P <0 .0 5 )。结论 CT扫描和上腹部超声对胃癌侵犯胰腺诊断有较大帮助。联合胰腺切除的胃癌根治术可延长部分病例生存期。胰腺受侵犯未作胰腺部分切除者效果差。
Objective To study the value of surgical management of advanced gastric cancer (AGC) with pancreatic invasion.Methods 390 patients with AGC were estimated preoperatively by electronic gastroscopy and epigastric B-ultrasound (BUS) and spiral CT scan.60(15.38%) out of 390 AGC patients with pancreatic invasion were confirmed by intraoperative and postoperative pathological diagnosis.Of them,33 patients underwent simultaneous pancreatectomy combined with gastric cancer radical operation,and the remaining 27 did non-radical intervention.Results The preoperative diagnostic rate of spiral CT scan and BUS in AGC patients with pancreatic invasion was 72.41% and 38.33% respectively. There was a significant difference in the survival time between the patients undergoing radical operation combined with simultanecus pancreatomy and those subject to non-radical intervention(P<0.05).Conclusion Spiral CT scan and BUS are helpful in the preoperative diagnosis of AGC with pancreatic invasion.The active surgical management of AGC with pancreatic invasion can prolong the survival of some patients.The prognosis of the AGC patients with pancreatic invasion not undergoing segment-pancreatectomy is worse.
出处
《临床外科杂志》
2004年第9期533-534,共2页
Journal of Clinical Surgery
关键词
胃癌
肿瘤浸润
胰腺
诊断
预后
stomach neoplasms
neoplasm invasiveness
pancreas
diagnosis
prognosis
