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本文总结分析了我院57~86年,经手术及病理证实的原发性十二指肠恶性肿瘤31例,其中根治术17例,局部切除4例,内引流术10例,术后存活最长达11年之久。原发性十二指肠恶性肿瘤在临床上与壶腹周围癌,胰头癌不易区别。本文就其发病率,诊断方法及治疗效果进行分析讨论。强调早期诊断是提高术后五年生存率的关键,并指出,局部切除对年老、体弱、局限性病变的病人亦能提高其术后生存率。
This article summarizes and analyzes 31 cases of primary duodenal malignancies confirmed by surgery and pathology in our hospital from 57 to 86 years. Among them, there are 17 cases of radical surgery, 4 cases of local resection, 10 cases of internal drainage, and the most postoperative survival. Up to 11 years old. Primary duodenal malignancy is clinically indistinguishable from periampullary cancer and pancreatic head cancer. This article analyzes and discusses its incidence, diagnostic methods and therapeutic effects. Emphasizing that early diagnosis is the key to improving postoperative five-year survival rates, and pointing out that local excision can also improve the postoperative survival rate for elderly, infirm, and localized lesions.