CAJ | 학술논문

目的探讨胰腺黏液性囊性肿瘤的诊断和治疗方法.方法回顾性分析2000年5月至2009年5月经手术并病理证实为胰腺黏液性囊性肿瘤12例患者的临床特点和治疗结果.结果术前查超声、CT和MRCP,确诊率分别为50.0%(5/10)、66.7%(6/9)和83.3%(5/6).完整手术切除率为91.7%(11/12),姑息切除1例.术后胰漏3例,2例治愈;1例术后1个月死亡,死亡原因为胰漏合并腹腔感染.1例术后25个月死于肿瘤复发转移.结论胰腺黏液性囊性肿瘤缺乏特异性临床表现,联合应用影像手段可以提高确诊率;对于胰腺黏液性囊性肿瘤应积极手术,根据肿瘤的部位采取不同的手术方式.
목적 탐토이선점액성낭성종류적진단화치료방법.방법 회고성분석2000년5월지2009년5월경수술병병리증실위이선점액성낭성종류12례환자적림상특점화치료결과.결과 술전사초성、CT화MRCP,학진솔분별위50.0%(5/10)、66.7%(6/9)화83.3%(5/6).완정수술절제솔위91.7%(11/12),고식절제1례.술후이루3례,2례치유;1례술후1개월사망,사망원인위이루합병복강감염.1례술후25개월사우종류복발전이.결론 이선점액성낭성종류결핍특이성림상표현,연합응용영상수단가이제고학진솔;대우이선점액성낭성종류응적겁수술,근거종류적부위채취불동적수술방식.
Objective To investigate the diagnosis and treatment of mutinous cystadenoma of the pancreas.Method The clinical data of 12 cases with pancreatic mutinous cystadenoma was confirmed by pathology from May 2000 to May 2009 was retrospectively analysed.Results The accuracy rates of ultrasound,CT and MRCP were 50.0%(5/10),66.7%(6/9)and 83.3%(5/6)respectively.Pancreaticoduodenectomy,duodenum-preserving pancreatic head resection,distal pancreatic resection,distal pancreaticresection and splenectomy,segment pancreatic resection were performed according to the site of tumors.Completed resectable rate was 91.7%(11/12),palliative resection in 1 case,postoperative pancreatic leakage in 3 cases.2 cases cured;1 case died of intra-abdominal infection caused by pancake fistula 1 month later;1 case died of tumor recurrence and metastasis 25 months later.Conclusions Pancreatic cystic neoplasms is lack of specific clinical manifestations.Combined with application of imaging methods,can improve the diagnosis rate.Operation is the most effective therapy.The feasible procedures for mucinous cystadenoma of the pancmas should be choiced according to the site of tumors.