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目的总结十二指肠癌的临床诊治经验。方法回顾性分析近2年我院经B超、CT平扫加增强及低张力十二指肠钡餐造影检查,术前诊为壶腹部肿瘤,经手术及病理证实为十二指肠乳头周围癌患者的临床资料。结果本组3例,行胰头十二指肠切除术2例,胆囊空肠吻合加胃空肠吻合术1例。随访7个月至2年,手术切除2例,1例于术后10个月发现肿瘤复发,术后15个月死亡。旁路转流手术1例于术后7个月死亡。结论十二指肠癌起病隐匿,多见于十二指肠乳头周围。B超有助于发现肿瘤,最具诊断价值。手术切除是最可靠的治疗方法,旁路转流术有助于改善症状,延长生存期。
Objective To summarize the clinical experience of diagnosis and treatment of duodenal cancer. Methods Retrospective analysis of the past two years in our hospital by B-scan, CT scan and enhanced low-tension barium meal examination of the duodenum, preoperative diagnosis of ampullary tumor, confirmed by surgery and pathology of duodenal papillary carcinoma The patient’s clinical data. Results The group of 3 patients underwent pancreatoduodenectomy in 2 cases, cholecystojejunostomy plus gastrojejunostomy in 1 case. Follow-up ranged from 7 months to 2 years. Surgical resection was performed in 2 cases. One case showed tumor recurrence 10 months after operation and died 15 months after operation. One patient underwent bypass surgery died at 7 months after operation. Conclusion duodenal cancer occult onset, more common in the duodenal papillae. B-help to find the tumor, the most diagnostic value. Surgery is the most reliable treatment, bypass shunt can help to improve symptoms and prolong survival.