局部切除与胰十二指肠切除治疗Vater壶腹癌的临床对比研究  

A COMPARATIVE STUDY OF LOCAL RESECTION VERSUS PANCREATICDUODENECTOMY IN AMPULLARY CARCINOMA OF THE VATER

作　　者：孙自友 杨瑞环 张兴亚 王成交 

机构地区：[1]山东省郓城县人民医院普外科,郓城274700 [2]山东省郓城县丁庙医院,274701

出　　处：《肝胆外科杂志》2001年第3期193-195,共3页Journal of Hepatobiliary Surgery

摘　　要：目的　为治疗Vater壶腹癌提供一种简单、实用的新方法。方法　应用局部切除与胰十二指肠切除两种不同的方法治疗Vater壶腹癌 ,判定Vater壶腹癌局部切除的可靠性。结果　Vater壶腹癌局部切除组 2 1例 ,平均住院 14d ,。发生手术并发症 1例 ,无围手术期死亡 ,1年、3年、5年生存率分别为 95 %、6 9.7%、38.7%。胰十二指肠切除组 16例 ,平均住院 2 1d ,发生手术并发症 7例 ,围手术期死亡 2例 ,1年、3年、5年生存率分别为 86 .7%、6 8.9%、36 .8%。手术并发症两种方法有非常显著差别 (P <0 .0 1) ,围手术期死亡及 1年、3年、5年生存率无显著差别 (P >0 .0 5 )。结论　Vater壶腹癌局部切除是一种合理治疗Vater壶腹癌的手术方法。Objective A new simple and practical method was given in the treatment for ampullary carcinoma of the Vater.Methods Through the applying of two way of local resection and pancreaticduodenectomy in the treatment ampully carcinoma of the vater,The reliability of local resection in ampullary carcinoma of the vater was settled.Results There was 21 patients in the group of local resection the mean time of hospital was 14 days,only one patient had a complication ,the postoperative mortality was zero,the survival rate,of 1、3、5 Years was 95%、69.7%、38.7% separately.There was 16 patients in the group of pancreaticduodenectomy,the mean time of hospical was 21 days,7 patients had compcations,the postoperative mortality was 2,the survival rate of 1、3、5 years was 86.7、68.9%、36.8% respectively.The complication difference in the two group was noted(P<0.001) and the survival rate difference did not found (P>0.05).Conclusion The local resection was a proper method in the treatment for ampullary carcinoma of the vater.

关 键 词：乏特氏壶腹癌 乏特氏壶腹癌局部切除术 胰十二指肠切除术 治疗 

分 类 号：R735.805[医药卫生—肿瘤]