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壶腹周围癌45例诊治的临床分析

后强 崔杰 刘毅

中国临床医学2011,Vol.18Issue(3):351-352,2.
中国临床医学2011,Vol.18Issue(3):351-352,2.

壶腹周围癌45例诊治的临床分析

Diagnosis and Treatment of 45 Cases with Periampullar Carcinoma

后强 1崔杰 1刘毅1

作者信息

  • 1. 安徽省马鞍山市中心医院普外科,安徽马鞍山,243000
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摘要

Abstract

Objective: To summarize the clinical experience of diagnosis and treatment for periampullar carcinoma. Methods:Clinical data of 45 patients with carcinoma of periampullar in our hospital during the last 11 years were reviewed retrospectively. Results:The main clinical symptoms of the 45 cases were obstructive jaundice, epigastric discomfort and pain. The main imagic characteristics were pancreatic-head and ampullary masses, dilations of biliary and pancreatic duct. Endoscopic retrograde cholangio pancreatogrophy (ERCP) signed direct or indirect signs and characteristic manifestations. 29 cases for duodenopancreatectomy, 3 for duodenum tumor local excision, 4 for cholecystojejunostomy, 4 for choledochjejunalostomy,one for cholecystoduodenostomy and 4 for gastrojejunostomy. Conclusions: It is important to pay great attention to the unspecific symptoms of the epigastrium and combined adoption of the current advanced imaging methods could result in increasing early diagnosis. Pancreaticoduodenectomy remains to be the most effective intervention for periampullar carcinoma.

关键词

壶腹周围癌/诊断/外科治疗

Key words

Periampullar carcinoma/ Diagnosis/ Surgery

分类

医药卫生

引用本文复制引用

后强,崔杰,刘毅..壶腹周围癌45例诊治的临床分析[J].中国临床医学,2011,18(3):351-352,2.

中国临床医学

OACSTPCD

1008-6358

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