论文部分内容阅读
目的提高十二指肠癌的诊治水平。方法 对 4 5例十二指肠癌的诊治方法及预后作回顾性分析。结果行纤维十二指肠镜检查的十二指肠癌确诊率为 95 % (2 0 / 2 1) ,十二指肠X线低张造影检出率为 96 % (2 2 / 2 3) ,腹部B超及CT的检出率分别为 2 9% (13/ 4 5 )及 73% (19/ 2 6 ) ,5例行核磁共振 (MRI)检查 ,4例显示肿瘤。手术治疗 4 4例 ,肿瘤切除率为 5 3% (2 4 / 4 5 ) ,根治性切除率为 4 2 %(19/ 4 5 )。根治术后 1、3、5年生存率分别为 91%、39%、2 6 % ,肿瘤未切除组的中位生存期仅为 5个月。结论联合应用纤维十二指肠镜和十二指肠低张造影能较理想地诊断各段十二指肠肿瘤 ,B超、CT及MRI均能判断梗阻性黄疸者的梗阻部位 ,且有助于检出转移瘤。手术切除肿瘤是有效的治疗方法。
Objective To improve the diagnosis and treatment of duodenal cancer. Methods The diagnosis and treatment of 45 cases of duodenal cancer and its prognosis were retrospectively analyzed. Results The diagnosis rate of duodenal cancer in fiberoptic duodenoscopy was 95% (20/21). The detection rate of duodenal radiography was 96% (2/2/3) , And the detection rates of abdominal ultrasonography and CT were 29% (13/45) and 73% (19/2 6%) respectively. MRI was performed in 5 cases and tumor in 4 cases. Surgical treatment of 44 cases, the tumor resection rate was 53% (24/45), the radical resection rate was 42% (19/45). The 1, 3, 5-year survival rates were 91%, 39%, 26% respectively after radical operation, and the median survival time of the tumor-unresected group was only 5 months. Conclusions Combined application of duodenoscope and duodenal low-resolution radiography can diagnose all segments of duodenal tumors more ideally, and the obstructive sites of obstructive jaundice can be judged by B-mode ultrasonography, CT and MRI. In the detection of metastases. Surgical removal of the tumor is an effective treatment.