原发性十二指肠恶性肿瘤65例手术方式选择分析  

Surgical methods selection of 65 cases of primary malignant tumor of the duodenum

作　　者：莫合买提.叶海亚 张谦[1] 斯坎德尔.努尔买买提 

机构地区：[1]新疆维吾尔自治区人民医院胃肠外科,乌鲁木齐830001

出　　处：《疑难病杂志》2016年第9期971-973,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的探讨原发性十二指肠恶性肿瘤(PDMT)手术方式的选择及疗效。方法 2008年7月—2015年6月新疆维吾尔自治区人民医院胃肠外科诊断和手术治疗PDMT患者65例,对其临床资料进行回顾性分析。结果65例患者中,行根治性胰十二指肠切除术40例,1例失访,术后1年、3年、5年生存分别为32例(82.1%)、23例(59.0%)、13例(33.3%);局部切除术5例,术后1年、3年、5年生存分别为3例(60.0%)、2例(40.0%)、1例(20.0%);旁路手术15例,术后1年、3年、5年生存分别为8例(53.3%)、5例(33.3%)、1例(6.7%);5例未接受手术治疗患者在1年内全部死亡。结论 PDMT的术式选择以根治性胰十二指肠切除术为首选,其次为局部切除术,而旁路手术亦可改善患者的生存质量和延长生存时间。Objective To investigate the choice of surgical methods of primary duodenal malignant tumor （ PDMT） and its therapeutic effect .Methods The clinical data of 65 patients with PDMT who were diagnosed and operated in the De-partment of gastrointestinal surgery , the Xinjiang Uygur Autonomous Region people＇ s Hospital from July 2008 to June 2015 , were analyzed retrospectively .Results In 65 patients underwent radical pancreaticoduodenectomy resection of 40 cases, 1 case was lost to follow-up of 1 year, 3 years and 5 years survival rates of 32 cases （82.1%）, 23 cases （59.0%）, 13 cases （33.3%）;local excision was performed in 5 cases, postoperative 1 year, 3 years and 5 years survival rates for the 3 cases （60.0%）, 2 cases （40.0%）, 1 cases （20.0%）;the bypass surgery in 15 cases, postoperative 1 year, 3 years and 5 years survival were 8 cases （53.3%）, 5 cases （33.3%）, 1 cases （6.7%）;5 cases received no surgical treatment of patients 1 year in all death .Conclusion PDMT was the first choice for radical resection of pancreatic and duodenal resection , followed by partial resection , and bypass surgery can improve the quality of life and prolong the survival time of patients .

关 键 词：十二指肠恶性肿瘤 胰十二指肠切除术 临床疗效 

分 类 号：R735.31[医药卫生—肿瘤]