摘要
目的 探讨原发性阑尾恶性肿瘤早期诊断、早期治疗的方法和疗效。方法 回顾研究近 2 0年来接受治疗并经病理证实的阑尾恶性肿瘤 ,结合有关文献分别讨论了阑尾类癌、腺癌和粘液性囊腺癌的发病率、临床表现及诊治要点。结果 阑尾类癌 8例 ,腺癌 5例 ,粘液性囊腺癌 2例 ,均经手术治疗 ,除粘液性囊腺癌 2例一期回盲部切除 ,余病例均单纯阑尾切除。术前无 1例获正确诊断。根据病理结果 ,类癌直径 >1.5cm者行二期右半结肠切除 ,腺癌者行右半结肠切除加区域淋巴结清扫术。结论 阑尾肿瘤与阑尾炎关系密切 。
Objective To study the diagnosis and effects of primary lethal tumour of appendix in the earlier stage. Methods Disease rates,clinical findings and diagnosis and surgical treatment of appendix carcinoid,adenoma and mucocele,lethal tumour of appendix ademoma and mucocele,lethal tumour of appendix that were treated and tested pathologically were reported and literatures reviewed in the past 20 years. Results Appendix carcinoid: 8 cases; Adenoma: 5 cases; Mucocele: 2 cases; all 15 cases were operated. Apart from 2 cases of mucocele done for partial cecectomy in leimyosarcoma, the rest were done for appendectomy. None was diagnosed correctly before operation. According to the result of pathology, right hemicolectomy in carcinoid (diameter>1.5cm),right hemicolectomy and regional lymphadenectomy in adenocarcinoma. Conclusion Appendix tumour is related closely to appendicitis.Careful exploration and pathology are important for choosing correct operation methods.
出处
《菏泽医学专科学校学报》
2000年第3期56-57,共2页
Journal of Heze Medical College
