CAJ | 학술논문

目的探讨胰腺囊性肿瘤的诊断和治疗.方法对35例胰腺囊性肿瘤病例资料进行回顾性分析.结果术前诊断率:B超为28.6%(10/35),CT为44.4%(12/27),MRI为70%(7/10).28例行手术治疗,并为术后病理确诊,其中浆液性囊腺瘤2例,黏液性囊腺瘤9例,囊腺癌7例,胰腺导管内乳头状黏液性肿瘤3例,胰腺实性假乳头状瘤7例.获得随访23例:胰腺囊腺瘤术后5年存活率为62.5%(5/8),无复发病例;胰腺囊腺癌完整切除者最长存活5年8个月,未能完整切除者最长存活6个月;胰腺实性假乳头状瘤4例,均健在,最长已存活4年.结论胰腺囊性肿瘤术前诊断较困难,CT及MRI对本病的诊断帮助较大.外科切除是最有效的治疗手段.加强各科医师之间的交流与合作、及早发现、恰当的手术方法,有助于提高本病的诊治效果.
목적 탐토이선낭성종류적진단화치료.방법 대35례이선낭성종류병례자료진행회고성분석.결과 술전진단솔:B초위28.6%(10/35),CT위44.4%(12/27),MRI위70%(7/10).28례행수술치료,병위술후병리학진,기중장액성낭선류2례,점액성낭선류9례,낭선암7례,이선도관내유두상점액성종류3례,이선실성가유두상류7례.획득수방23례:이선낭선류술후5년존활솔위62.5%(5/8),무복발병례;이선낭선암완정절제자최장존활5년8개월,미능완정절제자최장존활6개월;이선실성가유두상류4례,균건재,최장이존활4년.결론 이선낭성종류술전진단교곤난,CT급MRI대본병적진단방조교대.외과절제시최유효적치료수단.가강각과의사지간적교류여합작、급조발현、흡당적수술방법,유조우제고본병적진치효과.
Objective To investigate the diagnosis and treatment of pancreatic cystic tumors. Methods The clinical data of 35 patients with pancreatic cystic tumors were retrospectively analyzed. Results The preoperative diagnosis rate was as follows: ultrasound was 28.6% ( 10/35 ), CT 44.4% ( 12/27 ), MRI 70% (7/10). Twenty-eight cases underwent operation and were diagnosed finally by postoperative pathology. Serous cystic neoplasm (SCN) was found in 2 cases, mucinous cystic neoplasm (MCN) in 9 cases,cystic adenocarcinoma in 7 cases, intraductal papillary mucinous neoplasm ( IPMN ) in 3 cases, solid pseudopapillary tumor (SPT) in 7 cases. Twenty-three cases were followed up successfully. The post-operative 5 years survival rate was 62.5% (5/8) in pancreatic cystic adenoma without recurrence. The longest survival time in cystic adenocarcinoma after complete resection was 5 years and 8 months, while in which after incomplete resection was 6 months. The 4 cases of SPT are all alive, and one of them has survived for 4 years as the longest one. Conclusions It is difficult to diagnose the pancreatic cystic neoplasm accurately before operation. CT and MRI may be helpful to make the diagnosis. Surgical resection is the most effective treatment. The enhancement of the communication and cooperation between the related departments, the early diagnosis, and the appropriate operation are needed to improve the diagnostic and therapeutic efficacy.