局部切除治疗壶腹部肿瘤的探讨  

Local resection for treatment of periampullaryr adenocaecinoma

作　　者：李宗军[1] 彭小云[1] 胡晟[1] 

机构地区：[1]重庆市急救医疗中心（重庆市第四人民医院）肝胆外科,400014

出　　处：《中国保健营养（临床医学学刊）》2009年第8期117-118,共2页China Health Care Nutrtion

摘　　要：目的探讨壶腹部肿瘤局部切除的疗效。方法自1999年～2004年间9例壶腹部肿瘤患者行局部切除的治疗效果进行分析。结果病理报告标本切缘均无癌残留，无手术死亡。术后胆漏1例，经保守治疗痊愈。随访7例，随访时间8—45个月，2例分别手术后11、20个月死于其它疾病；1例术后14个月复发死亡。术后1年生存率（6／9）66％，2年生存率（4／9）44％。结论适应于肿瘤直径（2．0cm，无淋巴转移和局部浸润的壶腹部肿瘤，尤其对高龄合并内科疾病患者不失为一种比较理想的手术方式。Objective To investigate the therapeutic efficacy of local resection for periampullary adenocarcinoma. Methods The therapeutic efficacy of local resection for 9 patients with periampuulary adenocarcinoma from 1999 to 2004 was analyzed. Results Pathological examination shows that no remant tumor tissue was seen during the operation .No patient died after operation. 1 patient had bile leakage, the patient was cured by conservative methods.The follow-up for 8 months to 45 months in 7 patients shows that 2 died for other causes at the 11 and the 20 month after operation, respectly; 1 died for tumor recurrence at the 14 month after operation.The 1- and 2-year survival rates were 66% （6/9） and 44% （4/9）, respectly. Conclusion Local resection procedure is appropriate for small tumor （diameter〈2cm）, negative lymph node and uninvasion in surround tissue, especially for aged patient combined physicial causes.

关 键 词：壶腹部肿瘤 局部切除 

分 类 号：R735.3[医药卫生—肿瘤]