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目的探讨进一步提高胰腺体尾部癌外科治疗效果的措施。方法回顾性分析62例经外科治疗的胰腺体尾部癌患者的临床资料。结果胰腺体尾癌根治性切除率为30.6%。随访43例,行根治性切除者的1、3、5年生存率分别为73.7%、31.6%、15.8%。胃空肠吻合、剖腹探查者的1年生存率分别为20.0%、18.8%,3年生存率均为0;行射频消融以及125I粒子置入者,存活均超过12个月,目前仍存活。结论胰腺体尾部癌患者预后差,改善预后的关键在于早期诊断、提高根治切除率。
Objective To explore measures to further improve the surgical treatment of pancreatic tail body cancer. Methods The clinical data of 62 patients with surgically treated pancreatic tail carcinoma were retrospectively analyzed. Results The radical resection rate of pancreatic body tail carcinoma was 30.6%. The follow-up of 43 cases showed that the 1,3,5-year survival rates of patients who underwent radical resection were 73.7%, 31.6% and 15.8% respectively. Gastrojejunostomy and laparotomy were 20.0% and 18.8%, respectively. The 3-year survival rates were all 0. The patients who survived for more than 12 months after radiofrequency catheter ablation and 125I implantation were still alive. Conclusions The prognosis of patients with pancreatic body tail carcinoma is poor. The key to improving prognosis is early diagnosis and improvement of radical resection rate.