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目的 :分析和总结胰腺癌的手术治疗经验,结合相关资料探讨胰腺癌可切除性的评估标准。方法:对2007年1月至2012年1月手术治疗胰腺癌患者的诊断和治疗进行回顾性分析。结合患者病程、临床症状和体征、肿瘤TSN分期和影像学检查等资料,随访患者是否死亡及死亡时间、原因等数据,对胰腺癌的可切除性进行评估。结果:89例胰腺癌中,50例首发症状为上腹部疼痛和/或上腹部饱胀不适。25例为皮肤巩膜黄染、皮肤瘙痒和茶色尿等症状。肿瘤分期为Ⅰ、Ⅱ期和术前影像学检查中提示肿瘤未侵犯血管和无远处转移的患者切除率较高。结论:术前影像学检查及肿瘤TSN分期可用于胰腺癌可切除性评估。
Objective: To analyze and summarize the experience of surgical treatment of pancreatic cancer, combined with relevant data to explore the evaluation criteria of resectability of pancreatic cancer. Methods: The diagnosis and treatment of patients with pancreatic cancer surgically treated from January 2007 to January 2012 were retrospectively analyzed. Combined with the patient’s course of disease, clinical symptoms and signs, tumor TSN staging and imaging studies and other data, follow-up of patients with death and death time, causes and other data to evaluate the resectability of pancreatic cancer. Results: Of the 89 pancreatic cancers, the first symptom of 50 cases was upper abdominal pain and / or discomfort of upper abdomen. 25 cases of skin scleral yellow dye, itchy skin and brown urine and other symptoms. Tumor stage Ⅰ, Ⅱ and preoperative imaging examination showed no tumor invasion of blood vessels and no distant metastasis in patients with high removal rate. Conclusion: Preoperative imaging and tumor TSN staging can be used to assess the resectability of pancreatic cancer.