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目的探讨胰腺癌扩大根治性切除术治疗胰头癌的疗效。方法采用回顾性临床对照研究,将75例实施胰十二指肠切除的胰头癌患者按手术曰期分为对照组(n=38)和研究组(n=37),比较两者的生存率、手术并发症发生率、围手术期死亡及复发率。结果对照组和研究组的手术并发症发生率分别为60.53%和29.73%;3年生存率分别为15.79%和35.14%;3年复发率分别为78.95%和35.14%。差异均有统计学意义(P<0.05)。围手术期病死率分别为5.26%和2.70%(P>0.05)。结论扩大根治性胰十二指肠切除术能降低胰头癌术后复发率,提高3年生存率。
Objective To investigate the effect of extended radical resection of pancreatic cancer on pancreatic cancer. Methods According to the retrospective clinical control study, 75 patients with pancreaticoduodenectomy undergoing pancreatoduodenectomy were divided into control group (n = 38) and study group (n = 37) according to the operative date. The survival of both Rate, the incidence of complications, perioperative mortality and recurrence rate. Results The incidences of complications in the control group and the study group were 60.53% and 29.73%, respectively. The 3-year survival rates were 15.79% and 35.14% respectively. The 3-year recurrence rates were 78.95% and 35.14% respectively. The differences were statistically significant (P <0.05). Perioperative mortality was 5.26% and 2.70% (P> 0.05). Conclusion Expanding radical pancreaticoduodenectomy can reduce the recurrence rate of pancreatic cancer and improve the 3-year survival rate.