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目的探讨胰腺囊性肿瘤的诊断和治疗方法。方法回顾性分析我院1990年7月至2009年8月收治的9例胰腺囊性肿瘤患者的临床资料。结果本组9例中,仅4例术前诊断为胰腺囊性肿瘤,4例误诊为胰腺假性囊肿,1例误诊为胆总管囊肿,误诊率46.6%。行胰头部囊性肿瘤切除1例,胰体尾和脾切除术3例,囊肿局部切除2例,囊肿空肠Roux-Y吻合术2例。外引流1例,全组无手术死亡。结论提高对本病的认识,行B超、CT等多种检查方法,避免误诊,采取积极手术治疗,有较好的治疗效果。
Objective To investigate the diagnosis and treatment of pancreatic cystic tumors. Methods The clinical data of 9 patients with pancreatic cystic tumors admitted to our hospital from July 1990 to August 2009 were analyzed retrospectively. Results Of the 9 cases, only 4 cases were diagnosed as pancreatic cystic tumors preoperatively, 4 cases were misdiagnosed as pancreatic pseudocysts, and 1 case was misdiagnosed as choledochal cyst. The misdiagnosis rate was 46.6%. One case of pancreatic head cystadenocarcinoma, three cases of pancreatic body tail and splenectomy, partial cyst excision in 2 cases, cyst jejunum Roux-Y anastomosis in 2 cases. External drainage in 1 case, the whole group without surgical death. Conclusion To improve the understanding of the disease, B ultrasound, CT and other inspection methods to avoid misdiagnosis, take active surgical treatment, have a better therapeutic effect.