中国中西医结合外科杂志
中國中西醫結閤外科雜誌
중국중서의결합외과잡지
CHINESE JOURNAL OF SURGERY OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2013年
5期
499-502
,共4页
壶腹癌%外科治疗%预后
壺腹癌%外科治療%預後
호복암%외과치료%예후
Ampullary Carcinoma%surgical treatment%prognosis
目的：评价不同手术方式对壶腹癌的治疗效果，并分析其与预后的关系。方法：回顾性研究81例壶腹癌患者的临床资料，根据治疗方法不同，50例采用肿瘤切除术治疗，31例采用姑息性手术治疗。分析不同治疗方法的术后并发症发生情况及预后。结果：肿瘤切除患者的术后并发症发生率差异有统计学意义(P＜0.05)，肿瘤局部切除患者的术后并发症发生率比行胰十二指肠切除术低。行不同方法的姑息性手术患者，术后并发症的发生率差异无统计学意义(P＞0.05)。采用肿瘤切除治疗后，患者的生存时间差异无统计学意义(P=0.475)，但采用不同方法的姑息性术式治疗后，患者的生存时间差异有统计学意义(P＜0.001)。研究发现，壶腹癌行肿瘤切除术后的中位生存时间比行姑息性手术长。姑息性手术方式中，行ERBD术后的中位生存时间比胆肠吻合和经皮经肝胆道穿刺引流治疗的长。结论：壶腹癌行根治性胰十二指肠切除术后并发症发生率相对较高，但术后生存时间长。
目的：評價不同手術方式對壺腹癌的治療效果，併分析其與預後的關繫。方法：迴顧性研究81例壺腹癌患者的臨床資料，根據治療方法不同，50例採用腫瘤切除術治療，31例採用姑息性手術治療。分析不同治療方法的術後併髮癥髮生情況及預後。結果：腫瘤切除患者的術後併髮癥髮生率差異有統計學意義(P＜0.05)，腫瘤跼部切除患者的術後併髮癥髮生率比行胰十二指腸切除術低。行不同方法的姑息性手術患者，術後併髮癥的髮生率差異無統計學意義(P＞0.05)。採用腫瘤切除治療後，患者的生存時間差異無統計學意義(P=0.475)，但採用不同方法的姑息性術式治療後，患者的生存時間差異有統計學意義(P＜0.001)。研究髮現，壺腹癌行腫瘤切除術後的中位生存時間比行姑息性手術長。姑息性手術方式中，行ERBD術後的中位生存時間比膽腸吻閤和經皮經肝膽道穿刺引流治療的長。結論：壺腹癌行根治性胰十二指腸切除術後併髮癥髮生率相對較高，但術後生存時間長。
목적：평개불동수술방식대호복암적치료효과，병분석기여예후적관계。방법：회고성연구81례호복암환자적림상자료，근거치료방법불동，50례채용종류절제술치료，31례채용고식성수술치료。분석불동치료방법적술후병발증발생정황급예후。결과：종류절제환자적술후병발증발생솔차이유통계학의의(P＜0.05)，종류국부절제환자적술후병발증발생솔비행이십이지장절제술저。행불동방법적고식성수술환자，술후병발증적발생솔차이무통계학의의(P＞0.05)。채용종류절제치료후，환자적생존시간차이무통계학의의(P=0.475)，단채용불동방법적고식성술식치료후，환자적생존시간차이유통계학의의(P＜0.001)。연구발현，호복암행종류절제술후적중위생존시간비행고식성수술장。고식성수술방식중，행ERBD술후적중위생존시간비담장문합화경피경간담도천자인류치료적장。결론：호복암행근치성이십이지장절제술후병발증발생솔상대교고，단술후생존시간장。
Objective To investigate the therapeutic effects of patients with carcinoma of ampulla treated by different surgical methods, and to analyze the relationship with the prognosis. Methods Clinical data of 81 cases of ampullary carcinoma were retrospectivly studied, according to different therapeutic methods, 50 cases treated with tumor resection, 31 cases with palliative surgery. The postoperative complications and prognosis of different therapies were analyzed. Results The incidence of postoperative complications with tumor resection patients was statistically significant (P<0.05),the incidence of postoperative complications with local tumor re-section patients was lower than that of pancreaticoduodenal resection. The incidence of postoperative complica-tions was with no statistically significant difference (P>0.05). The survival time of patients with tumor resection was not statistically significant (P= 0.475),and that with palliative surgery treatment was statistically significant (P<0.001).The study showed that the median survival time with ampulla carcinoma tumor resection treatment was longer than that with palliative surgery treatment. The median survival time of palliative surgery patients with ERBD treatment was longer than with bravery intestinal anastomosis and percutaneous transhepatic cholan-gial drainage. Conclusion The incidence of postoperative complications of ampulla carcinoma patients with radical resection of pancreas and duodenum was relatively high, and the postoperative survival time was compara-tively long.
