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本文复习了124例胰腺癌,就下列几方面进行了回顾性评价;(1)肿瘤切除范围。(2)胆道旁路的方式。(3)预防性十二指肠旁路和(4)肿瘤不能切除者辅助放疗和化疗的好处。加州O’Connor和Good Samaritan医院自1975～1985年经剖腹术及病理学诊断证实为胰腺导管腺癌者共124例。全部获得随访,其中117例(94％)随访直至死亡。有7例仍存活。随访中期为23月(8月～5.8年)。全组男性67例,女性57例,平均年龄66岁(25～87岁)。40％病例年龄>70岁。首发症状为黄疸者87例。腹痛、腹块者为15％。超声及经皮
This article reviewed 124 cases of pancreatic cancer, retrospective evaluation of the following aspects; (1) scope of tumor resection. (2) The way of biliary bypass. (3) Benefits of adjuvant radiotherapy and chemotherapy for prophylactic duodenal bypass and (4) tumor unresectable. A total of 124 cases of pancreatic ductal adenocarcinoma confirmed by laparotomy and pathological diagnosis from 1975 to 1985 in O’Connor and Good Samaritan Hospitals in California. All were followed up and 117 (94%) were followed until death. Seven patients survived. The mid-term follow-up period was 23 months (from August to 5.8 years). The entire group included 67 males and 57 females. The average age was 66 years (25-87 years). 40% of cases are older than 70 years old. The first symptom was 87 cases of jaundice. Abdominal pain, abdominal mass was 15%. Ultrasound and Transcutaneous