胰腺囊性肿瘤的临床分析  

Clinical analysis of pancreatic cystic tumors

作　　者：黄新余[1] 郑起[1] 冯昌宁[1] 林擎天[1] 

机构地区：[1]上海交通大学附属第六人民医院普外科,上海200233

出　　处：《外科理论与实践》2006年第1期43-45,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:总结胰腺囊性肿瘤的诊治经验,提高对该疾病的认识和诊治水平。方法:对1986～2004年中24例胰腺囊性肿瘤的临床病例资料作回顾性分析。结果:全组中胰腺囊腺瘤10例,胰腺囊腺癌6例,胰腺导管内乳头状黏液性腺癌3例,实性假乳头瘤2例,胰腺腺泡细胞囊腺癌、胰岛细胞癌囊性变及胰腺继发性囊性肿瘤各1例。全组男8例,女16例,平均年龄51岁。肿瘤位于胰头部8例,胰体尾部16例。手术方式为胰十二指肠切除4例,胰体尾切除15例,内引流2例,活检3例。胰腺囊腺瘤、囊腺癌、导管内乳头状黏液性腺癌、实性假性乳头瘤等的临床表现、病理特征、手术方式和预后显著不同。结论:不同病理类型的胰腺囊性肿瘤之临床特征和预后显著不同。提高对胰腺囊性肿瘤的认识对指导临床治疗具有重要意义。Objective To investigate the diagnosis and treatment of the cystic neoplasm of pancreas. Methods Twenty-four cases of pancreatic cystic neoplasm admitted from 1986 to 2004 were analyzed retrospectively, Results Eight cases were male and 16 were female, their age ranged from 23 to 81 years with a mean age of 51 years. Tumors were located in the head of the pancreas in 8 cases and in the body and tail of the pancreas in 16 cases. Pancreaticoduo- denectomy was performed in 4 cases, resection of the body and tail of the pancreas were resected in 14 cases, internal drainage in 2 cases and exploratory laparotomy and biopsy in 3 cases. The pathologic diagnosis was cystic adenoma in 10 cases, cystic adenocarcinoma in 6, intraductal papillary mucinous adenocarcinoma in 3, solid-pseudopapillary neoplasm in 2, and acinar cell cystadenocarcinoma, cystic islet cell carcinoma, cystic secondary tumor of the pancreas in one case each. Conclusion Since the clinical situation, pathologic characters, operative procedure and prognosis differ very much between the categries, it is of utmost importance to have a precise diagnosis before any definitive therapeutic measure is undertaken.

关 键 词：胰腺 胰腺假囊肿 胰腺瘤 诊断 外科手术 

分 类 号：R735.9[医药卫生—肿瘤]