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目的 提高原发性十二指肠癌的诊断与治疗水平。方法 回顾性分析我院1987-2000年间收治的45例原发性十二指肠癌的临床资料。结果 乳头周围区癌64.5％（29/45）,乳头下部癌占22.2％（10/45）,乳头上部癌占13.3％（6/45）。十二指肠镜的确诊率为71.4％（15/21）。胰十二指肠切除术22例,节段性肠切除术2例,单纯癌肿切除术3例,胃肠、胆肠吻合术12例,剖腹探查术4例,手术切除率为62.8％（27/43）。结论 原发性十二指肠癌以乳头周围区癌多见。手术以胰十二指肠切除术为主,节段性肠切除术和单纯癌肿切除术根据具体情况可酌情应用。
Objective To improve the diagnosis and treatment of primary duodenal cancer. Methods The clinical data of 45 cases of primary duodenal cancer treated in our hospital from 1987 to 2000 were retrospectively analyzed. Results 64.5% (29/45) of the tumors around the nipple, 22.2% (10/45) of the lower papillary carcinoma and 13.3% (6/45) of the upper papillary carcinoma. The diagnosis of duodenoscopy was 71.4% (15/21). Pancreaticoduodenectomy in 22 cases, segmental bowel resection in 2 cases, simple carcinoma in 3 cases, gastrointestinal, choledochojejunostomy in 12 cases, laparotomy in 4 cases, the surgical resection rate was 62.8% ( 27/43). Conclusions Primary duodenal cancer is more common in the area around the nipple. Surgery to pancreatoduodenectomy based, segmental enteral resection and simple cancer resection can be applied as appropriate under the circumstances.