手术治疗97例胰头癌疗效分析  

Therapeutic effect analysis of surgical treatment for carcinoma of the head of pancreas in 97 cases

作　　者：郝荣涛[1] 涂兵[1] 张义彬[1] 陈蓁臻[1] 成名翔[1] 龚建平[1] 

机构地区：[1]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《重庆医科大学学报》2008年第3期373-375,共3页Journal of Chongqing Medical University

摘　　要：目的:分析手术治疗胰头癌的疗效并进一步探讨胰头癌手术指征及术式选择。方法:回顾性分析2000～2004年间我科手术治疗的97例胰头癌患者的临床资料。结果:97例患者中行单纯胰十二指肠切除术(Pancreatoduodenectomy,PD)41例,联合门静脉/肠系膜上静脉(PW/SMV)切除的胰十二指肠切除术13例,其余43例均行姑息性胆肠内引流术。行姑息性切除患者均于1年内死亡,单纯胰十二指肠切除组1年及3年生存率分别为58.5%和26.8%,联合血管切除组1年及3年生存率分别为53.8%和23.1%。结论:根治性切除是目前所有治疗措施中能够达到治愈的唯一手段,在严格把握手术适应症的前提下开展联合血管切除的的根治术可提高根治性切除率及术后生存率。Objective：To analyze therapeutic effect of surgical treatment for carcinoma of the head of pancreas and study the operative indication and model of carcinoma of the head of pancreas. Methods：The clinical data of 97 patients with carcinoma of the head of pancreas were analyzed retrospectively from 2000 to 2004. Results：41 patients underwent pancreatoduodenectomy, 13 patients underwent pancreatoduodenectomy with PV /SMV resection,palliative hepaticojejunostomy was performed to the rest.All the patients who underwent palliative resection were died in lyear after the operation,the 1,3-year survival rate of patients undergoing PD was 58.5% and 26.8% respectively,the 1,3-year survival rate of patients undergoing PD with vascular resection was 53.8% and 23.1% respectively. Conclusion：PD is the only way to cure carcinoma of the head of pancreas,PD with vascular resection can increase the resection rate and the survival on the condition of strict indication.

关 键 词：胰头癌 胰十二指肠切除术 门静脉/肠系膜上静脉 

分 类 号：R735.9[医药卫生—肿瘤]