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胰腺囊性肿瘤的诊断与治疗
引用本文:施红旗,宋其同,陈宗静,李劲节,俞富祥,何瀚.胰腺囊性肿瘤的诊断与治疗[J].肝胆胰外科杂志,2009,21(2).
作者姓名:施红旗  宋其同  陈宗静  李劲节  俞富祥  何瀚
作者单位:温州医学院第一附属医院肝胆外科,浙江,温州,325000
摘    要:目的 探讨胰腺囊性肿瘤的诊断与治疗方法.方法 对我院1985年1月至2006年12月间收治的11例胰腺囊性肿瘤的临床资料进行回顾性分析.结果 本组11例中,仅6例术前确诊为胰腺囊性肿瘤,术前误诊为胰腺假性囊肿4例,误诊为胆总管囊肿1例,误诊率为45.4%.行胰头部囊性肿瘤切除术2例,胰体尾部切除和脾切除术3例,囊性肿瘤局部切除术2例.囊肿空肠Roux-Y吻合术3例,囊肿活检,囊腔内置管引流术1例.内引流术后并发胰性腹水1例,全组无手术死亡.结论 提高对本病的警惕性,常规行胰腺B超和CT检查是早期发现本病的有效方法,避免误诊和积极手术切除,可获得较好疗效.

关 键 词:胰腺囊性肿瘤  胰腺假性囊肿  诊断  治疗

Diagnosis and treatment of the pancreatic cystic tumors
SHI Hongqi,SONG Qitong,CHEN Zongjing,et al..Diagnosis and treatment of the pancreatic cystic tumors[J].Journal of Hepatopancreatobiliary Surgery,2009,21(2).
Authors:SHI Hongqi  SONG Qitong  CHEN Zongjing  
Affiliation:SHI Hongqi,SONG Qitong,CHEN Zongjing,et al. Department of Hepatobiliary Surgery,the First Affiliated Hospital of Wenzhou Medical Col- lege,Wenzhou 325000
Abstract:Objective To probe the methods of diagnosis and treatment of the pancreatic cystic tumors. Methods Eleven cases of pancreatic cystic neoplasm admitted into our hospital from January 1985 to De- cember 2006 were analyzed retrospectively. Results Of all the 11 patients in this group, only 6 were defi- nitely diagnosed as cystic tumors of the pancreas preoperatively, 4 were mistaken for pseudocysts of the pan- creas and 1 for choledochal cyst. The misdiagnosis rate was 45.4%. Two patients with cystic tumors of...
Keywords:pancreatic cystic neoplasms  pancreatic pseudocyst  diagnosis  treatment  
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