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我科于1980年12月－1992年3月收治及外出会诊治疗中晚期胰头癌患者23例，均经剖腹探查并病理证实。本组6例行胰头十二指肠切除术，1例局部切除，切除率为30．4％，切除组生存3年以上者4例，生存5年以上者3例，切除率低与病期较晚有关。8例患者作胆道内引流术，4例追加行胃空肠吻合术，3例仅行剖腹探查术，1例作胆囊造疾术，16例不可切除患者平均生存时间5．2月，1年生存率仅18．8％，生存率极低。本文且对其临床特点、B超、CT的诊断价值、如何提高术中病理诊断的阳性率及手术切除率方面作了讨论
In our department from December 1980 to March 1992, 23 cases of advanced pancreatic head cancer were treated and went out for consultation. All cases were confirmed by laparotomy and pathologically confirmed. The group of 6 patients undergoing pancreaticoduodenectomy, 1 case of local resection, the resection rate was 30.4%, the resection group survived for more than 3 years in 4 cases, 3 cases survived for more than 5 years, the resection rate was low and disease The period is relatively late. Eight patients underwent biliary drainage, 4 underwent gastrojejunostomy, 3 underwent laparotomy, and 1 underwent gallbladder neoplasms. The average survival time of 16 unresectable patients was 5.2 months. The rate is only 18.8%, and the survival rate is extremely low. This article discussed the clinical features, the diagnostic value of B-ultrasonography, CT, how to improve the positive rate of intraoperative pathological diagnosis, and the rate of surgical resection.