壶腹部肿瘤的诊断和治疗  

Diagnosis and treatment of ampullary tumors

作　　者：殷涛[1] 周颖珂 吴河水[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胰腺外科,武汉430022

出　　处：《临床肝胆病杂志》2017年第2期268-271,共4页Journal of Clinical Hepatology

摘　　要：壶腹部肿瘤临床多表现为阻塞性黄疸和壶腹部肿块,因解剖部位结构复杂、深在、症状隐匿,难以早期发现,有时定性诊断较困难。在本中心多年以来治疗壶腹部肿瘤经验的基础上,就其临床表现、诊断、治疗以及预后等方面归纳了壶腹部肿瘤的特点,尤其对壶腹部肿瘤影像学评估、手术方式的选择以及预后等问题进行了论述。壶腹部肿瘤重在早期诊断,及时发现和处理早期病变对患者预后影响重大。术前精准的影像学评估,专业化的诊疗团队、准确的术前及术中病理分析及合理治疗策略的实施是患者得以康复的关键。Ampullary tumors mainly manifest as obstructive jaundice and ampullary mass in clinical practice and are difficult to be identified in early stage due to a complex structure of the anatomical site, a deep location, and hidden symptoms. Sometimes a qualitative diagnosis cannot be made. Based on the experience in the treatment of ampullary tumors for many years in our center, this article summarizes the features of ampullary tumors from the aspects of clinical manifestations, diagnosis, treatment, and prognosis, especially the issues regarding imaging evaluation of ampullary tumors, selection of surgical procedure, and prognosis. An early diagnosis is the key to the treatment of ampullary tumors, and early identification and treatment of lesions have great impacts on patients＇ prognosis. Accurate preoperative imaging evaluation, a professional diagnosis and treatment team, accurate preoperative and intraoperative pathological analysis, and implementation of reasonable therapeutic strategy are the key to patients＇ recovery.

关 键 词：壹腹部肿瘤 诊断 治疗 预后 

分 类 号：R735.0[医药卫生—肿瘤]