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目的总结胰腺实性假乳头状瘤(SPTP)在本中心的诊疗方法及效果。方法回顾性分析25例SPTP的临床诊断、治疗以及预后,选取性别、年龄、肿瘤大小、影像学特点等指标分析其特点。同法分析胰腺囊腺瘤24例.并与之比较,应用SPSS10.0软件进行t检验或χ~2分析。结果sPTP病人平均年龄34.4岁,女性占92%;肿瘤大小平均6.18 cm。CT扫描示:肿瘤包膜壁薄、脾大的往往提示恶性倾向。与胰腺囊腺瘤相比。sPTP在性别、年龄、有无胰管扩张、包膜厚度等方面差异有统计学意义。随访1~71个月,均无瘤存活。结论手术是治疗SPTP的有效方式且预后良好,CT对诊断有较大帮助。
Objective To summarize the diagnosis and treatment of solid pseudopapillary tumor of pancreas (SPTP) in our center. Methods The clinical diagnosis, treatment and prognosis of 25 cases of SPTP were retrospectively analyzed. The characteristics of gender, age, tumor size and imaging features were analyzed. The same method for the analysis of 24 cases of pancreatic cystadenoma, and compared with SPSS10.0 software for t test or χ ~ 2 analysis. Results The mean age of patients with sPTP was 34.4 years old, 92% of whom were women. The average tumor size was 6.18 cm. CT scan shows: thin wall of the tumor capsule, splenomegaly often prompt malignant tendency. Compared with pancreatic cystadenoma. sPTP in gender, age, with or without pancreatic duct dilatation, capsule thickness and other differences were statistically significant. Follow-up 1 to 71 months, no tumor survived. Conclusion Surgery is an effective way to treat SPTP and the prognosis is good. CT is helpful in the diagnosis.