局部切除术治疗十二指肠乳头肿瘤的影响因素分析  

Influence factor analysis of local excision in the treatment of duodenal tumor

作　　者：胡秋灵[1] 淦勤 邹勇[1] 

机构地区：[1]江西省九江市第一人民医院肝胆外科,江西九江332000

出　　处：《中国当代医药》2014年第32期20-21,24,共3页China Modern Medicine

基　　金：江西省卫生厅科技计划项目(20143254)

摘　　要：目的：探讨局部切除术治疗十二指肠乳头肿瘤的影响因素。方法选取2007年5月～2009年4月本院收治的40例十二指肠乳头肿瘤患者，收集所有患者的临床资料，通过比较两组患者的生存时间评定两组临床疗效。结果十二指肠乳头肿瘤采用局部切除术治疗后生存时间与术后化疗、肿瘤分化程度、肿瘤直径大小、是否合并十二指肠肠壁浸润、有无淋巴结转移及是否侵犯胰腺有关，差异有统计学意义（P＜0.05）。结论局部切除术治疗十二指肠乳头肿瘤的临床疗效与术后化疗、肿瘤分化程度、肿瘤直径大小、是否合并十二指肠肠壁浸润、有无淋巴结转移及是否侵犯胰腺有关，与患者年龄、性别、术前胆红素水平、术前CA19-9水平及术后有无并发症无关。Objective To investigate the influence factor analysis of local excision in the treatment of duodenal tumor. Methods 40 patients with duodenal tumor treated in our hospital from May 2007 to April 2009 were collected and the clinical data of all patients were analyzed.Clinical effect of two groups was evaluated by survival time of two groups was compared. Results The survival time after local excision treatment for duodenal tumor were related with postoperative chemotherapy,tumor differentiation,tumor size,whether the merger duodenum bowel wall invasion,whether lymph node metastasis,whether violation of the pancreas,with statistical difference（P〈0.05）. Conclusion The clinical efficacy of local excision in the treatment of duodenal tumor has relationship with postoperative chemotherapy,tumor differentiation,tu-mor size,whether the merger duodenum bowel wall invasion,whether lymph node metastasis,whether violation of the pancreas,has nothing to do with patient’s age,gender,preoperative bilirubin level,preoperative CA19-9 level,with and without postoperative complication.

关 键 词：局部切除术 十二指肠乳头肿瘤 影响因素 

分 类 号：R735.31[医药卫生—肿瘤]