IM To study the clinical significance of the diagnosis and catheterized interventional treatment of digital subtraction angiography (DSA) for pancreatic tumors.METHODS Ninetytwo patients with pancreatic tumor, 69 ma...IM To study the clinical significance of the diagnosis and catheterized interventional treatment of digital subtraction angiography (DSA) for pancreatic tumors.METHODS Ninetytwo patients with pancreatic tumor, 69 males and 23 females, aged from 41 to 70 years (mean 571 years) were diagnosed with DSA. Sixtyone patients with pancreatic cancer were treated with transcatheter celiac and superior mesenteric arterial anticancer agents (MMC 20mg, EADM 40mg and 5FU 20g) infusion (TCSAI).RESULTS The DSA diagnoses were confirmed by operations and pathological examinations, with a coincidence 826% rate of, and a therapeutic effective rate of 426%.CONCLUSION DSA is of diagnostic value for pancreatic tumors, and helpful in understanding the course of the disease, judging the prognosis and selecting the therapeutic regimen, and could improve the chemotherapeutic effect as well..展开更多
目的探讨黄疸对胰十二指肠切除术(PD)的影响。方法对本院1998年1月至2004年6月195例行 PD 术的临床资料进行回顺性分析。以有无黄疸及黄疸的程度将病例分成三组,无黄疸者为 A 组(n=61);黄疸病人中总胆红素(TIBL)<171μmol/L 者为 B ...目的探讨黄疸对胰十二指肠切除术(PD)的影响。方法对本院1998年1月至2004年6月195例行 PD 术的临床资料进行回顺性分析。以有无黄疸及黄疸的程度将病例分成三组,无黄疸者为 A 组(n=61);黄疸病人中总胆红素(TIBL)<171μmol/L 者为 B 组(n=70);TIBL≥171μmol/L 者为 C 组(n=64)。将三组的一般背景资料和主要并发症发生例数进行两两比较,采用SPSS10.0统计学软件对数据进行统计学分析。结果术中出血,C 组(1180.6±1 321.4)ml,高于 B组(807.9±558.7)ml,差异有显著意义(t=2.159、P<0.05)。术后并发上消化道出血,C 组15.6%,高于 B 组4.3%,差异有显著意义(x^2=0.027、P<0.05)。术后并发肾功能衰竭,C 组12.5%,分别高于 A 组1.6%和 B 组2.9%,差异有显著意义(x^2=0.019、P<0.05,x^2=0.034、P<0.05)。结论梗阻性黄疸虽然是 PD 术的危险因素之一,但对重症黄疸只要认真进行围手术期准备,对没有严重合并症的病人行一期 PD 术还是可行的。展开更多
文摘IM To study the clinical significance of the diagnosis and catheterized interventional treatment of digital subtraction angiography (DSA) for pancreatic tumors.METHODS Ninetytwo patients with pancreatic tumor, 69 males and 23 females, aged from 41 to 70 years (mean 571 years) were diagnosed with DSA. Sixtyone patients with pancreatic cancer were treated with transcatheter celiac and superior mesenteric arterial anticancer agents (MMC 20mg, EADM 40mg and 5FU 20g) infusion (TCSAI).RESULTS The DSA diagnoses were confirmed by operations and pathological examinations, with a coincidence 826% rate of, and a therapeutic effective rate of 426%.CONCLUSION DSA is of diagnostic value for pancreatic tumors, and helpful in understanding the course of the disease, judging the prognosis and selecting the therapeutic regimen, and could improve the chemotherapeutic effect as well..
文摘目的探讨黄疸对胰十二指肠切除术(PD)的影响。方法对本院1998年1月至2004年6月195例行 PD 术的临床资料进行回顺性分析。以有无黄疸及黄疸的程度将病例分成三组,无黄疸者为 A 组(n=61);黄疸病人中总胆红素(TIBL)<171μmol/L 者为 B 组(n=70);TIBL≥171μmol/L 者为 C 组(n=64)。将三组的一般背景资料和主要并发症发生例数进行两两比较,采用SPSS10.0统计学软件对数据进行统计学分析。结果术中出血,C 组(1180.6±1 321.4)ml,高于 B组(807.9±558.7)ml,差异有显著意义(t=2.159、P<0.05)。术后并发上消化道出血,C 组15.6%,高于 B 组4.3%,差异有显著意义(x^2=0.027、P<0.05)。术后并发肾功能衰竭,C 组12.5%,分别高于 A 组1.6%和 B 组2.9%,差异有显著意义(x^2=0.019、P<0.05,x^2=0.034、P<0.05)。结论梗阻性黄疸虽然是 PD 术的危险因素之一,但对重症黄疸只要认真进行围手术期准备,对没有严重合并症的病人行一期 PD 术还是可行的。
