CAJ | 학술논문

目的探讨局部切除术的适应证、术后并发症及对十二指肠乳头肿瘤治疗作用.方法分析郑州大学第一附属医院2005年2月至2011年6月局部切除术治疗的35例十二指肠乳头肿瘤患者的临床资料.结果无围术期死亡患者.发生十二指肠瘘2例,发生率为5.7％,切口脂肪液化4例,发生率为11.4％.术后病理检查良性肿瘤24例,恶性肿瘤21例.21例恶性肿瘤患者获随访1～6年,1年和5年生存率分别为85.7％和52.4％.结论局部切除术创伤小、住院时间短、经济花费小,效果满意,是一种一种安全、有效、合理术式的选择.
목적 탐토국부절제술적괄응증、술후병발증급대십이지장유두종류치료작용.방법 분석정주대학제일부속의원2005년2월지2011년6월국부절제술치료적35례십이지장유두종류환자적림상자료.결과 무위술기사망환자.발생십이지장루2례,발생솔위5.7％,절구지방액화4례,발생솔위11.4％.술후병리검사량성종류24례,악성종류21례.21례악성종류환자획수방1～6년,1년화5년생존솔분별위85.7％화52.4％.결론 국부절제술창상소、주원시간단、경제화비소,효과만의,시일충일충안전、유효、합리술식적선택.
Objective To investigate the indications,complication and the effectiveness of local excision for the duodenal papilla tumor (DPT).Methods The clinical data of 35 patients with DPT treated by local excision from Feb,2005 to June,2011 were retrospectively analyzed.Results There was no preoperative surgical mortality patients.The major complications including 2 cases of duodenal fistula (5.7％),4 cases of fat liquefaction of incision (11.4％).By pestoperative pathological examination there were 24 cases of benign tumer,21 cases of malignant tumor,and the 21 cases of malignant tumor were followed up for 1 to 6 years,1 year and 5-year survival rates were 85.7％ and 52.4％,respectively.Conclusions Local excision in the treatment of the duodenal ampullary tumor is safe,respectively,effective and rationa.