摘要
目的探讨胰腺囊性肿瘤的诊断和治疗。方法对本院1990年6月至2004年6月收治的41例胰腺囊性肿瘤患者的临床特点进行回顾性分析。结果胰腺囊性肿瘤好发于中青年女性，无急性胰腺炎，无上腹部手术及外伤史。临床表现以上腹部肿块和疼痛不适较为多见。影像学检查胰腺肿块为囊性，囊实性或不规则分叶状。肿瘤位于胰头部14例，胰体尾部27例。行不同术式的肿瘤切除35例，内引流3例，剖腹探查、肿瘤活检2例，1例拒绝于术治疗。有效随访34例，随访12个月～13年，22例囊腺瘤，17例仍生存；12例囊腺癌，生存时间〈12个月2例，12个月至2年4例，6例健在，其中5年以上3例，最长1例已生存7年。结论提高对胰腺囊性肿瘤的认识，减少误诊和积极的手术切除是改善其预后的主要措施。
Objective To discuss diagnosis and treatment of pancreatic cystic tumor. Methods Clinical data of 41 patients with pancreatic cystic tumor who were admitted between June 1990 and June 2003 were analyzed retrospectively. Results Pancreatic cystic tumor occurred more frequently in adolescents and middle aged women. Upper abdominal masses and pain were main clinical manifestations, without histories of acute pancreatitis, abdominal operation or injury. Cystic, cystsolidary or irregular lobulation may be observed on image inspection. Tumors were found at the head of pancreas in 14 cases and bodytail of pancreas in 27 cases. Of the 41 cases, different surgical resections of tumors were performed in 35, internal drainage of cystic tumor in 3 cases, exploratory laparotmy and biopsy in 2 cases. Thirty-four patients were followed up postoperatively from 12 months to 13 years, 17 of 22 patients with cystieadenoma still survived. In 12 patients with eysticadenocarcinoma, 2died in less than 12 months, 4 died in 12 months to 2 years postoperatively, 6 survived （3 survived more than 5 years and 1 more then 7 years）. Conclusions Heightened awareness about pancreatic cystic tumor, avoidance of misdiagnosis and positive surgical resection are the major measures for improving the prognosis of pancreatic pancreatic cystic tumor.
出处
《胰腺病学》
CAS
2006年第1期20-22,共3页
Chinese JOurnal of Pancreatology
关键词
胰腺肿瘤
囊腺瘤
诊断
治疗
Pancreatic neoplasms
Cystadenoma
Diagnosis
Treatment
