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目的探讨胰腺浆液性囊腺瘤的诊断和治疗。方法对1995年6月至2005年6月复旦大学附属中山医院收治的16例胰腺浆液性囊腺瘤病人的临床资料进行回顾性分析。结果胰腺浆液性囊腺瘤好发于女性,无特征性临床表现。B 超和 CT 诊断正确率分别为44%(7/16)和50%(8/16)。本组16例均行手术治疗,其中,胰十二指肠切除术8例,远端胰腺切除术3例,胰腺节段切除术2例,肿瘤摘除术3例,胰瘘是主要的并发症。本组13例获随访,3例失访。3例因其它疾病死亡,其余均健在,术后无复发。结论 B 超和 CT 是胰腺浆液性囊腺瘤主要的影像学检查方法,但准确率不高。有症状的胰腺浆液性囊腺瘤,或与黏液性囊性肿瘤不能鉴别的,应手术治疗。手术可行非根治性的胰腺切除术,甚至肿瘤摘除术。浆液性囊腺瘤手术切除后即可治愈。
Objective To investigate the diagnosis and treatment of pancreatic serous cystadenoma. Methods The clinical data of 16 patients with pancreatic serous cystadenoma admitted to Zhongshan Hospital Affiliated to Fudan University from June 1995 to June 2005 were analyzed retrospectively. Results Pancreatic serous cystadenomas occurred in women without any clinical manifestation. The diagnostic accuracy rates of B ultrasound and CT were 44% (7/16) and 50% (8/16) respectively. The group of 16 patients underwent surgical treatment, including pancreaticoduodenectomy in 8 cases, 3 cases of distal pancreatectomy, pancreatic resection in 2 cases, 3 cases of tumor resection, pancreatic fistula is the main complication . The group of 13 cases were followed up, 3 cases were lost. 3 cases died of other diseases, the rest are healthy, no recurrence after surgery. Conclusion B ultrasound and CT are the main imaging methods of pancreatic serous cystadenoma, but the accuracy is not high. Symptomatic pancreatic serous cystadenoma, or with mucinous cystic tumors can not be identified, should be surgically treated. Surgical feasible non-radical pancreatectomy, and even tumor resection. Serous cystadenoma after surgery can be cured.