改良局部切除术治疗十二指肠乳头肿瘤的临床价值.docVIP

改良局部切除术治疗十二指肠乳头肿瘤的临床价值 　　[摘要] 目的 分析改良局部切除术治疗十二指肠乳头肿瘤的临床价值。 方法 2012年9月～2014年3月在本院进行治疗的十二指肠乳头部肿瘤患者23例，按照随机数字表法分为改良手术组（12例）和常规手术组（11例），观察分析改良手术组和常规手术组患者的手术时间、住院时间、胆瘘、胰瘘、肠瘘、术后胆胰管梗阻发生情况、术后复发、转移、术后消化功能情况。 结果 改良手术组患者的手术时间和住院时间均显著短于常规手术组（P0.05）；改良手术组患者的胆瘘、胰瘘、肠瘘、胆胰管梗阻、术后复发和术后转移率均显著低于常规手术组（P0.05）；改良手术组患者的胃排空时间显著短于常规手术组（P0.05），而改良手术组患者3个月体重增加显著高于常规手术组（P0.05）。 结论 改良十二指肠局部切除术能够更为有效地显露患者的十二指肠乳头，降低局部切除术后并发症的发生率，改善预后。 　　[关键词] 十二指肠乳头肿瘤；改良局部切除术；外科治疗 　　[中图分类号] R735.3+1 [文献标识码] A [文章编号] 1674-4721（2014）08（b）-0014-03 　　[Abstract] Objective To analyze the clinical value of modified local excision in the treatment of major duodenal papilla tumor. Methods 23 major duodenal papilla tumor patients in our hospital from September 2012 to March 2013 were selected，the patients were divided into two improved surgical group （12 cases） and conventional surgery group （11 cases） according to the random number table method.The surgery time，hospital stay，biliary fistula，pancreatic fistula，intestinal fistula，binary duct obstruction，relapse after surgery，metastasis，digestive function of the two groups were observed and analyzed. Results The surgery time and hospital stay in improved surgical group were shorter than those of the conventional surgery group （P0.05），the biliary fistula，pancreatic fistula，intestinal fistula， binary duct obstruction，relapse after surgery，metastasis and digestive function in improved surgical group were shorter than those of the conventional surgery group （P0.05），the gastric emptying time in improved surgical group was shorter than that of the conventional surgery group，the weight gain in improved surgical group was higher than that of the conventional surgery group （P0.05）. Conclusion Modified local excision in the treatment of can expose duodenal papilla effectively，can decrease the complications and improve the prognosis. 　　[Key words] Major duodenal papilla tumor；Modified local excision；Surgery treatment 　　十二指肠乳头部肿瘤在临床的发病率较低，是壶腹周围型恶性肿瘤中的一种[1]，指发生在十二指肠乳头区域的肿瘤，因胆总管、胰