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目的 探讨分析胰腺癌的诊治经验和影响手术切除率的因素。方法 回顾分析我院1990年 1月至 1997年 12月收治的 147例胰腺癌的诊治情况 ,并结合临床表现、实验室结果、影像学检查等临床资料 ,对胰腺癌的可切除性和根治性进行评估。结果 147例胰腺癌中胰头癌和胰体尾癌的切除率分别为 5 4% (5 4/99)、48% (13/2 7) ,根治率分别为 48% (47/99)、30 % (8/2 7) ;手术病死率为3%。无消瘦、TNM早期 ,影像学检查无血管浸润和 (或 )远处转移者具有较高的手术切除率 (P <0 0 5 )。病程长、有腹痛症状的手术切除率似有下降趋势。结论 胰腺癌的早期诊断和以手术为主的综合治疗是胰腺癌外科治疗的基础。评估胰腺癌可切除性指标包括有无消瘦、术前TNM分期、影像学检查等。
Objective To investigate the experience of diagnosis and treatment of pancreatic cancer and the factors that influence the surgical resection rate. Methods The clinical diagnosis and treatment of 147 cases of pancreatic cancer treated in our hospital from January 1990 to December 1997 were retrospectively analyzed. Combined with clinical data, laboratory results, imaging findings, and other clinical data, the resectability and curative effect of pancreatic cancer were analyzed. to evaluate. Results The resection rates of pancreatic cancer and pancreatic cancer in 147 cases of pancreatic cancer were 5 4% (5 4/99) and 48% (13/2 7), respectively. The cure rate was 48% (47/99). 30% (8/2 7); The surgical mortality was 3%. In the absence of weight loss and early TNM, imaging examinations without vascular invasion and (or) distant metastases had higher surgical resection rates (P < 0.05). The long course of the disease and the symptoms of abdominal pain appear to have a decreasing trend. Conclusion Early diagnosis of pancreatic cancer and comprehensive treatment based on surgery are the basis for surgical treatment of pancreatic cancer. To evaluate the resectable indicators of pancreatic cancer, including whether there is weight loss, preoperative TNM staging, imaging examination.