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在胰头区域的恶性肿瘤中,壶腹部癌的发生率相当高,仅次于胰腺癌。壶腹部癌切除效果远比胰腺癌好。尽管壶腹部癌术后有较满意的效果,但仍有50％以上的病人死于肿瘤复发。本文目的是通过评价死亡率、住院并发症、后期并发症及生存率来确定壶腹部癌行胰十二指肠切除术的效果,分析与生存率密切相关的预后因素以及找出有高危复发的病人。 1984年至1992年间,67例壶腹部癌症人行胰十二指肠切除术,男性42例,女性25例。平均年龄61岁(39～74岁)。自1987年开始,采用标准的影像学检查,包括常规超声波、CT、ERCP、腔内超声及选择性动脉造影检查。
In the malignant region of the pancreatic head, the incidence of ampulla cancer is very high, second only to pancreatic cancer. Ampullary cancer is far more effective than pancreatic cancer. Although ampulla cancer has a satisfactory result after surgery, more than 50% of patients died of tumor recurrence. The purpose of this article is to determine the efficacy of pancreaticoduodenectomy by evaluating mortality, hospital complications, late complications, and survival rates, analysis of prognostic factors that are closely related to survival, and to identify high-risk recurrence patient. From 1984 to 1992, 67 patients with ampulla cancer underwent pancreaticoduodenectomy. There were 42 males and 25 females. The average age is 61 years old (39-74 years old). Since 1987, standard imaging studies have been used, including routine ultrasound, CT, ERCP, endosonography, and selective arteriography.