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本文回顾性的分析了自1949～1985年三十六年中,35例壶腹部腺癌、2例良性腺瘤的病理特征、外科治疗及术后情况,并对其进行了统计学分析.37例患者中男26人,女11人.癌肿病人年龄为41～83岁.临床多表现为黄疸、体重下降、腹痛、大便潜血阳性、贫血及厌食等.9例因误诊为胆石症而做了胆囊切除术.多数病人术前做了上消化道内窥镜及ERCP检查,从而使诊断的准确性明显提高,准确率由1969年前的27%提到73%.但这些检查对于局部淋巴结受侵与否尚不能做出评价.32例(88%)行
This article retrospectively analyzed the pathological features, surgical treatment and postoperative conditions of 35 cases of ampulla adenocarcinoma and 2 cases of benign adenoma in the 36 years from 1949 to 1985, and performed a statistical analysis.37 Among the patients, there were 26 males and 11 females. The age of the cancer patients was 41-83 years old. The clinical manifestations were jaundice, weight loss, abdominal pain, fecal occult blood positivity, anemia, and anorexia. Nine cases were diagnosed as cholelithiasis. Cholecystectomy. Most patients performed an upper digestive endoscopy and ERCP examination before surgery, so that the accuracy of the diagnosis was significantly improved. The accuracy rate was 73% before 27% before 1969. However, these examinations were performed for regional lymph nodes. Invasion or not can not make an assessment. 32 cases (88%) line