中国胆管乳头状瘤的临床流行病学(1979～2011年文献回顾分析)  

Clinical epidemiology of biliary papillomatosis in China during the past 32 years(1979～2011)

作　　者：张晓峰[1] 邱法波[2] 何俊闯[1] 黄飞龙[1] 孙大伟[1] 

机构地区：[1]青岛大学医学院,山东青岛266071 [2]青岛大学医学院附属医院肝胆外科,山东青岛266003

出　　处：《中国现代普通外科进展》2012年第6期455-458,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的：探讨中国胆管乳头状瘤的流行病学特征及临床特点。方法：联合检索维普数据库和中国知网等多家中文数据库中国1979～2011年有关胆管乳头状瘤的文献，总结分析胆管乳头状瘤的临床流行病学特征。结果：共报道胆管乳头状瘤39例，男女比例为1．06：1，平均年龄60岁，高发于50～70岁，74．4％分布于华东地区，17.2％分布于西南地区，以腹痛、黄疸为主要症状。肿瘤根治性切除是最主要的治疗手段。结论：胆管乳头状瘤主要分布在华东、西南地区，发病率较低，术前诊断较困难，易被误诊，手术切除是治疗此病有效方法，手术以肿瘤根治性切除为主。Objective： To study the epidemiological characteristics and clinic experience of Biliary papillomatosis. Method： Reports on Biliary papillomatosis published were retrieved from various databases, such as China National Knowledge Infrastructure（CNKI）. The epidemiological characteristics and treatment experience of Biliary papillomatosis were analyzed. Results： 39 patients with Biliary papillomatosis were reported in China in recent 30 years, male to female ratio was 1.06：1, with an average age of 60 years.74.36% of the patients located in eastern China,17.24% distributed in the southwest. Abdominal pain and jaundice were the main symptoms. Radical resection of tumor is the most important treatment of Biliary papillomatosis. Conclusion： Biliary papillomatosis mainly locate in the east and southwest. Low incidence and easily misdiagnosed are the characteristics of Biliary papillomatosis. Surgical resection is an effective way to treat the disease. Radical resection of tumor is the most important treatment.

关 键 词：胆管乳头状瘤 流行病学 临床 

分 类 号：R735.8[医药卫生—肿瘤] R73-31[医药卫生—临床医学]