论文部分内容阅读
目的探讨局部切除治疗Vater壶腹部肿瘤的手术效果。方法对28例Vater壶腹部肿瘤患者实施局部切除治疗的临床资料进行回顾性分析。结果无手术死亡病例。术后并发十二指肠瘘1例,胰瘘1例,切口感染1例,经相应治疗均痊愈,并发症发生率10.7%。对25例随访1～9年,1,5年存活率分别为92%和32%。结论局部切除可使部分壶腹部肿瘤患者获得根治性切除的效果。其创伤小、恢复快、对高龄、一般情况差、有严重合并症等高危因素患者是一种较好的治疗方法。
Objective To investigate the surgical results of partial resection of ampulla of Vater. Methods The clinical data of 28 cases of Vater ampulla tumor were analyzed retrospectively. Results no surgical deaths. One case was complicated with duodenal fistula, one case was pancreatic fistula and one case was incision infection. After corresponding treatment, all cases were cured and the complication rate was 10.7%. 25 cases were followed up for 1 to 9 years, 1, 5-year survival rates were 92% and 32%. Conclusion Partial resection can make partial ampulla tumor patients get radical resection effect. The trauma is small, fast recovery, for the elderly, the general situation is poor, there are serious complications and other risk factors in patients with a better treatment.