胰头及壶腹周围良性病变误行胰十二指肠切除术  

Pancreaticoduodenectomy were Misperformed in Benign Changes of Pancreas Head and Peri-ampullae

作　　者：周新科 乔安意 于宝军[2] 

机构地区：[1]广州市第二人民医院肝胆外科,广东广州510150 [2]南京军区南京总医院解放军普通外科研究所,江苏南京210002

出　　处：《国际医药卫生导报》2006年第14期13-14,共2页International Medicine and Health Guidance News

摘　　要：目的探讨胰十二指肠切除术中良性病变所占比例及术前、术中明确诊断的方法。方法回顾性分析我院1994～2004年期间73例术前诊断为胰头或壶腹周围恶性肿瘤而做胰十二指肠切除术病例中,术后病理诊断为良性病变者17例的临床、病理资料。结果术后病理检查发现慢性胰腺炎12例,胰腺囊腺瘤恶变1例,十二指肠乳头状腺瘤2例,胆总管下段炎性狭窄2例。良性病变占整个胰十二指肠切除术病例的23.3%。结论在做胰十二指肠切除术的良性病变中慢性胰腺炎占大多数。术中穿刺活检做冰冻切片病理检查是鉴别良、恶性病变的最有效方法。Objective To investigate the proportion , correct diagnosis methods before and in operation for pancreaticoduodenectomy so as to increase the resective rate and reduce the post operative complications. Methods 17cases clincal date of 73cases of pancreticoduodenectomy performed from 1994 to 2004 were retrospectively analyzed. Results Among the 73 cases, 17cases （23.3%） were benign of post-operative pathology, include chornic pancreastitis 12cases , cystoid-benign lcases, mastoid-benign of duodenum 2 cases, inflammation straitness 2cases. Conclusion A combinative way to determine the nature and pancreas puncture through duodenum were the most effetive methods to increase the correct rate of diagnosis.

关 键 词：胰十二指肠切除术 良性 腺瘤 胰腺炎 

分 类 号：R656[医药卫生—外科学]