摘要
胰腺癌是腹部常见的一种高度恶性肿瘤,极易出现转移,自然病程短,预后极差。由于胰腺的解剖位置和胰腺癌独特的生物学特性,导致其早期诊断困难,患者往往失去根治性手术的机会,即使获得手术切除的患者,术后存活率也极低。因此,如何改善胰腺癌患者手术预后显得日益重要,成为亟待解决的问题。总结回顾有关胰腺癌早期发现及诊断、专业化及规范化综合治疗、围术期的营养支持治疗及积极处理术后等方面的进展,有助于今后开展进一步的相关研究和提高临床诊疗水平。
Pancreatic cancer is a common highly malignant abdominal tumor, which has a poor progno- sis, short natural duration and easy transfer. It is difficult to be diagnosed in the early stage for its anatomic and unique biological characteristics, so that many patients lose the chance of radical surgery. Even though some patients get surgical resection, the survival rates is also extremely low. So how to improve the prognosis is becoming increasingly important and is an urgent problem to be solved. A review on the progress about the early detection and diagnosis of pancreatic cancer, specialized and standard comprehensive treatment, periop- erative nutritional support and active management of the postoperative complications is helpful to carry out further research and improve the clinical diagnosis and treatment level in the future.
出处
《医学综述》
2013年第2期262-265,共4页
Medical Recapitulate
基金
湖南省自然科学基金(07JJ6163
11JJ3114)
关键词
胰腺癌
预后
胰十二指肠切除术
肠内营养
Pancreatic cancer
Prognosis
Pancreatoduodenectomy
Enteral nutrition