手术治疗97例胰头癌疗效分析

郝荣涛; 涂兵; 张义彬; 陈蓁臻; 成名翔; 龚建平

doi:10.13406/j.cnki.cyxb.2008.03.029

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手术治疗97例胰头癌疗效分析

临床研究 | 更新时间：2024-01-17

- 手术治疗97例胰头癌疗效分析
- Therapeutic effect analysis of surgical treatment for carcinoma of the head of pancreas in 97 cases
- 重庆医科大学学报 2008年第3期页码：373-375
- 作者机构：
  
  1. 重庆医科大学附属第二医院肝胆外科
  2. 重庆医科大学附属第二医院肝胆外科,重庆,400010
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2008.03.029
  中图分类号： R735.9
- 纸质出版日期：2008，
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[1]郝荣涛,涂兵,张义彬,陈蓁臻,成名翔,龚建平.手术治疗97例胰头癌疗效分析[J].重庆医科大学学报,2008(03):373-375.

HAO Rong-tao. Therapeutic effect analysis of surgical treatment for carcinoma of the head of pancreas in 97 cases[J]. Journal of Chongqing Medical University, 2008,(3):373-375.
[1]郝荣涛,涂兵,张义彬,陈蓁臻,成名翔,龚建平.手术治疗97例胰头癌疗效分析[J].重庆医科大学学报,2008(03):373-375. DOI： 10.13406/j.cnki.cyxb.2008.03.029.

HAO Rong-tao. Therapeutic effect analysis of surgical treatment for carcinoma of the head of pancreas in 97 cases[J]. Journal of Chongqing Medical University, 2008,(3):373-375. DOI： 10.13406/j.cnki.cyxb.2008.03.029.

摘要

目的:分析手术治疗胰头癌的疗效并进一步探讨胰头癌手术指征及术式选择。方法:回顾性分析2000～2004年间我科手术治疗的97例胰头癌患者的临床资料。结果:97例患者中行单纯胰十二指肠切除术（Pancreatoduodenectomy

PD）41例

联合门静脉/肠系膜上静脉（PW/SMV）切除的胰十二指肠切除术13例

其余43例均行姑息性胆肠内引流术。行姑息性切除患者均于1年内死亡

单纯胰十二指肠切除组1年及3年生存率分别为58.5%和26.8%

联合血管切除组1年及3年生存率分别为53.8%和23.1%。结论:根治性切除是目前所有治疗措施中能够达到治愈的唯一手段

在严格把握手术适应症的前提下开展联合血管切除的的根治术可提高根治性切除率及术后生存率。

Abstract

Objective:To analyze therapeutic effect of surgical treatment for carcinoma of the head of pancreas and study the operative indication and model of carcinoma of the head of pancreas.Methods:The clinical data of 97 patients with carcinoma of the head of pancreas were analyzed retrospectively from 2000 to 2004.Results:41 patients underwent pancreatoduodenectomy

13 patients underwent pancreatoduodenectomy with PV/SMV resection

palliative hepaticojejunostomy was performed to the rest.All the patients who underwent palliative resection were died in lyear after the operation

the 1

3-year survival rate of patients undergoing PD was 58.5% and 26.8% respectively

the 1

3-year survival rate of patients undergoing PD with vascular resection was 53.8% and 23.1% respectively.Conclusion:PD is the only way to cure.carcinoma of the head of pancreas

PD with vascular resection can increase the resection rate and the survival on the condition of strict indication.

关键词

胰头癌胰十二指肠切除术门静脉/肠系膜上静脉

Keywords

Carcinoma of the head of pancreaspancreatoduodenectomyPV/SMV

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