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目的为评价胰腺乳头样囊实性肿瘤的诊断和治疗。方法分析１９８０～１９９６年收治的，均经手术和病理检查证实为胰腺乳头样囊实性肿瘤５例的临床资料。结果该病好发于青年女性，常见的临床表现为中上腹包块。钡餐，Ｂ超，ＣＴ，ＭＲ以及ＥＲＣＰ对本病有诊断价值。本组５例中１例行胰十二指肠切除，４例行胰体尾加脾脏切除，手术切除率为１００％，术后疗效满意。结论作者认为胰腺乳头样囊实性肿瘤属良性或低度恶性肿瘤，治疗的首选是手术切除。
Objective To evaluate the diagnosis and treatment of pancreatic papillary solid cystic tumors. Methods The clinical data of 5 patients with pancreatic papillary solid cystic tumor confirmed by surgery and pathological examination were analyzed from 1980 to 1996. The results of the disease occur in young women, the common clinical manifestations of middle and upper abdominal mass. Barium meal, B ultrasound, CT, MR and ERCP have diagnostic value for this disease. In this group of 5 cases, 1 patient underwent pancreatoduodenectomy, 4 patients underwent pancreatic body and tail plus splenectomy. The surgical resection rate was 100%. The curative effect was satisfactory. Conclusion The authors believe that the pancreatic papillary solid cystic tumors are benign or low-grade tumors. The first choice for treatment is surgical resection.