摘要
目的探讨胰腺实性假乳头状瘤的诊治方法。方法回顾性分析2008年8月至2010年4月问手术治疗6例的临床资料。结果本组6例均获完整切除和病理诊断。其中，行胰十二指肠切除术2例，胰体尾切除术2例，胰体尾切除术加脾切除术1例，腹腔镜胰体尾切除术加脾切除术1例。术后发生胰漏1例，继发Ⅰ型糖尿病1例。术后随访1～16个月，无一例肿瘤复发和转移。结论胰腺实性假乳头状瘤病人以青年女性多见，肿瘤边界清，体积大。腹部B型超声、CT检查是重要诊断手段。手术切除率高，行胰十二指肠切除术或胰体尾切除术时还有可能实施保留其他脏器功能的手术。
Objective To discuss the diagnosis and treatment of the solid pseudopapillary tumor of the pancreas（SPTP）. Methods Six consecutive cases operated at our hospital from Aug. 2008 to Apr, 2010 were reviewed. Results They were 17 to 31 years old with an average of 21.8. The maxi- mal dimension of tumor ranged from 6. 6 cm to 13. 0 cm,average 8. 2 crn. Those tumors originated from pancreatic head（2 cases）,and body or tail（4 cases）. Abdominal B-ultrasound or CT scan examination disclosed pancreatic solid-cystic mass in 4 cases,and solid tumor in two. All tumors were resected com- pletely and diagnosed pathologically. Five patients underwent conservative open operations, including pancreaticoduodenectomy（2 cases）, spleen-preserving distal pancreatectomy （2 cases）, and distal pan- createctomy plus splenectomy（ 1 case）. Distal pancreatectomy plus splenectomy was performed by laparoscopy. Conclusion The young females are more likely suffered from the SPTP than others. SPTP usually has a clear boundary and large volume. Both abdominal B-ultrasound and CT scan exam are important diagnostic methods, and the resectable rate is high, furthermore, it is possible to perform a pan- creaticoduodenectomy or distal pancreatectomy with organ-preserving surgical treatment.
出处
《腹部外科》
2011年第2期89-90,共2页
Journal of Abdominal Surgery
关键词
胰腺肿瘤
诊断
消化系统外科手术
Pancreatic neoplasms
Diagnosis
Digestive system surgical procedures
