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目的探讨胰头与壶头周围肿瘤手术的临床治疗效果。方法分析50例癌症患者的手术治疗效果,其中胰头癌患者32例,壶腹部癌18例。结果 50例患者中,胆总管下端肿瘤多为恶性肿瘤,术后死亡率很高(100%)。壶腹周围的癌症多为良性肿瘤,术后生存率较长,且不易复发。胰头癌与壶腹癌手术治疗后的生存率具有明显的差异,因而具有统计学意义(82=6.77,P<0.05)。结论壶腹周围恶性癌症的发生率较低,因而手术治疗效果较好,胆总管下端癌症多为恶性肿瘤,术后死亡率较高,手术治疗效果较差。
Objective To investigate the clinical effect of surgical treatment of pancreatic head and peri-urethra. Methods The surgical treatment of 50 cases of cancer patients were analyzed, including 32 cases of pancreatic head cancer and 18 cases of ampulla carcinoma. Results Of the 50 patients, most of the common bile duct tumors were malignant tumors with high postoperative mortality (100%). The cancer around the ampulla was mostly benign and had a long postoperative survival rate and was not easily relapsed. The survival rate of pancreatic cancer and ampullary carcinoma after surgery was significantly different, which has statistical significance (82 = 6.77, P <0.05). Conclusion The incidence of malignant cancer around the ampulla is relatively low, so the surgical treatment is better. The lower common bile duct cancer is mostly malignant tumor with high postoperative mortality and poor surgical treatment.