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探讨胰腺癌81例的诊断及治疗情况,其中行根治性切除26例,内引流36例,外引流15例,仅剖腹探查4例,手术切除率32.1%。术后病理学分型:高分化导管腺癌9例,中分化导管腺癌8例,高~中分化导管腺癌4例,低分化导管腺癌5例。存活≤1年49例,~3年24例,~5年8例。分析表明:B超结合CT是目前诊断胰腺癌较为可靠、检出率较高的手段;术中操作技巧及肿块周围浸润组织切除、围手术期处理等有利提高切除率,降低并发症。对不能切除病例术中银夹标记术后放疗、胰十二指肠上动脉插管介入治疗有一定疗效
The diagnosis and treatment of 81 cases of pancreatic cancer were investigated, including 26 cases of radical resection, 36 cases of internal drainage, 15 cases of external drainage, and only 4 cases of exploratory laparotomy. The resection rate was 32.1%. Postoperative pathological classification: 9 cases of well-differentiated ductal adenocarcinoma, 8 cases of moderately differentiated ductal adenocarcinoma, 4 cases of high-medium-differentiated ductal adenocarcinoma, and 5 cases of poorly differentiated ductal adenocarcinoma. Survival ≤ 1 year 49 cases, ~ 3 years 24 cases, ~ 5 years 8 cases. The analysis shows that B-ultrasound combined with CT is currently a reliable method for diagnosing pancreatic cancer with a high detection rate. Intraoperative techniques, infiltration of the tissue around the tumor, and perioperative management can improve the resection rate and reduce complications. For the unresectable cases, the silver clips in the operation have certain curative effect after radiotherapy and interventional treatment of the superior pancreaticoduodenal artery