实用医学杂志2018,Vol.34Issue(6):998-1002,5.DOI:10.3969/j.issn.1006-5725.2018.06.031
十二指肠恶性肿瘤的诊断、治疗及预后风险因素分析
Analysis of clinical diagnosis,surgical management and prognosis in primary malignant tumor of the duo-denum
陈斌 1王春华 2王小农 1何晓1
作者信息
- 1. 赣南医学院第一附属医院肝胆外科 江西赣州341000
- 2. 赣南医学院基础学院 江西赣州341000
- 折叠
摘要
Abstract
Objective To evaluate the diagnosis,surgical treatment and prognosis of primary malignant tumor of the duodenum. Methods The clinical data of 118 cases with primary malignant tumor of the duodenum were collected and analyzed retrospectively during January 2005 to December 2015. Results Tumors located in the first,second,third and fourth parts in 7 cases,92 cases,12 cases,and 7 cases individually.The correct di-agnosis rate of endoscopy,duodenography,abdominal enhanced CT and ultrasound was 83.02%,79.42%,47.46% and 29.41% separately.Eighty cases underwent pancreaticoduodenectomy,18 cases received segmental duodenectom and 20 cases received bypass operation. Conclusions Tumors located in papillary region account for the majority of primary malignant tumors of the duodenum and are mainly of adenocarcinoma.Duodenography and endoscopy are the major methods for diagnosis of primary malignant tumor of the duodenum.Pancreaticoduodeneetomy is the first choice of therapy for primary malignant tumor in the duodenum.关键词
十二指肠肿瘤/胰十二指肠切除术/诊断/治疗/预后Key words
duodenal neoplasms/pancreaticoduodenectomy/diagnosis/treatment/prognosis引用本文复制引用
陈斌,王春华,王小农,何晓..十二指肠恶性肿瘤的诊断、治疗及预后风险因素分析[J].实用医学杂志,2018,34(6):998-1002,5.