十二指肠肿瘤的诊断及手术方法的探讨——附12例临床分析  

Diagnosis and surgery methods of duodenal tumors: a report of 12 cases

作　　者：姜海毅[1] 丁红光[1] 田晓卫[1] 

机构地区：[1]青岛市市立医院特三科,山东青岛266011

出　　处：《肿瘤防治杂志》2004年第12期1321-1322,共2页China Journal of Cancer Prevention and Treatment

摘　　要：手术治疗十二指肠肿瘤患者 12例 ,术前分别行B超、螺旋CT、钡剂造影、内镜检查 ;术中行常规冷冻病理切片检查 ;确诊良性肿瘤 8例 ,恶性 4例。除降部 3例恶性肿瘤行传统胰十二指肠切除术外 ,其余病例行十二指肠节段性切除。结果 :B超、钡剂造影、螺旋CT、内镜检出率分别为 5 / 7、81 8% ( 9/ 11)、8/ 9及 83 3 % ( 10 / 12 ) ;十二指肠节段切除手术平均时间 2 5h ( 1 5～ 4h) ,胰十二指肠切除术平均 5 5h( 4 5～ 6 5h)。所有病例术后恢复良好 ,无手术并发症出现。平均住院时间 18d( 12～ 2 3d)。随访时间 3 0 ( 3～ 48)个月 ,无肿瘤复发。回顾分析结果显示 ,螺旋CT在诊断十二指肠肿瘤方面具有优势 ,十二指肠降段及水平段良性或低度恶性肿瘤行十二指肠节段切除安全简便 。Twelve patients with duodenal tumors were reviewed,including 4 cases of malignant tumors and 8 benign ones.All the cases were diagnosed by ultrasonography,spiral CT,X-ray barium imaging or endoscopy respectively and treated by duodenal segmental resection operation except for 3 malignant ones, in whom the tumor was located in descending part of the duodenum.Positive diagnosed rate of ultrasonography was 5/7,spiral CT was 8/9,X-ray barium imaging was 81.8%(9/11) and endoscopy was 83.3%(10/12).The operation time was 2.5 h on everage to segmental resection,while 5.5 h to pancreaticoduodenectomy.All the patients were well recovered after operation without any complication.Spiral CT may be a relative better measure in the diagnosis of duodenal tumors,and duodenal segmental resection operation is safe and simple to those relative small benign tumors.

关 键 词：十二指肠肿瘤/诊断 十二指肠肿瘤/外科学 胰头十二指肠切除术 X线计算机体层摄影 回顾性研究 

分 类 号：R735.31[医药卫生—肿瘤]