论文部分内容阅读
目的 探讨壶腹周围癌的早期诊断、手术治疗及并发症的预防。方法 回顾分析141例壶腹周围癌的临床表现、辅助检查及手术并发症。结果 本组壶腹周围癌术前诊断符合率高于90%,胰十二指肠切除46例,切除率32.6%,胆瘘、胰瘘5例。住院死亡率13%。结论 为了提高壶腹周围癌的疗效,应重视早期诊断,加强围手术期的处理及提高手术组人员的技能,能降低并发症和死亡率。
Objective To explore the early diagnosis, surgical treatment and prevention of complications in periampullary cancer. Methods A retrospective analysis of 141 cases of periampullary cancer clinical manifestations, auxiliary examinations and surgical complications. Results The preoperative diagnosis rate of periampullary carcinoma in this group was higher than 90%, and 46 cases of pancreatoduodenectomy. The resection rate was 32.6%. There were 5 cases of cholestasis and pancreatic fistula. In-hospital mortality rate was 13%. Conclusion In order to improve the efficacy of periampullary cancer, early diagnosis should be emphasized, perioperative management should be strengthened, and the skills of the staff in the surgical group should be improved. Complications and mortality should be reduced.