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目的 提高十二指肠乳头癌的诊治效果。方法 回顾性分析 31例十二指肠乳头癌的临床资料。结果 18例行胰十二指肠切除术 ,术后并发症 9例 (5 0 0 % ) ,随访中位存活期 38个月 ;13例行局部切除术 ,术后并发症 2例 (15 4% ) ,随访中位存活期 36个月。结论 对可疑患者 ,应做相应的特殊检查 ,确诊后合理地选择手术方式是提高十二指肠乳头癌疗效及手术安全性的关键。
Objective To improve the diagnosis and treatment of duodenal papillary carcinoma. Methods The clinical data of 31 cases of duodenal papillary carcinoma were retrospectively analyzed. Results Eighteen patients underwent pancreatoduodenectomy. Postoperative complications occurred in 9 patients (500%). The median survival time was 38 months. 13 patients underwent local resection and 2 postoperative complications (15 4). %). Follow-up median survival time was 36 months. Conclusion The suspicious patients should be given special examinations. Choosing the appropriate surgical method after diagnosis is the key to improve the efficacy and surgical safety of the papillary carcinoma of the duodenum.