摘要
随着影像学技术的进步及健康体检的普及,胰腺囊性肿瘤(PCN)的检出率呈显著上升趋势。PCN的疾病谱复杂、异质性强,外科治疗策略差异较大。手术时机与方法的选择直接影响着患者的预后,如何识别潜在恶性的肿瘤并制定合理治疗策略是PCN诊治的关键。虽然国内外已发布多个PCN临床诊治相关指南,但其手术指征仍存在诸多争议,给PCN的规范诊治带来一定挑战。因此,充分衡量手术的风险与获益,谨慎把握手术指征对改善PCN患者预后具有重要意义。本文通过总结当前PCN临床诊治与研究的最新进展,深入探讨了PCN手术指征方面的争议,以期进一步规范PCN的诊治。
With the progress of imaging technology and the popularization of healthy examination,the detection rate of pancreatic cystic neoplasm(PCN)has increased significantly.PCN has complex disease spectrum,strong heterogeneity,and diverse surgical treatment strategies.Surgical timing and methods directly affect patients′prognosis.Therefore,how to identify malignant tumors and formulate reasonable treatment strategies are the keys to treat PCN.Many guidelines for clinical diagnosis and treatment of PCN have been released,but there are still many disputes about its surgical indications.Hence,fully assessing the surgical indications is of great significance to improve the PCN patients′prognosis.This paper deeply discusses on the surgical indications of PCN by reviewing the current clinical diagnosis,treatment and research progress of PCN,in order to standardize the diagnosis and treatment of PCN.
作者
张太平
罗文浩
邱江东
赵玉沛
Zhang Taiping;Luo Wenhao;Qiu Jiangdong;Zhao Yupei(Department of General Surgery,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2022年第7期646-650,共5页
Chinese Journal of Surgery
基金
国家重点研发计划(2018YFE0118600)
国家自然科学基金(面上项目)(81972258)。
关键词
胰腺肿瘤
外科手术
手术指征
争议
Pancreatic neoplasms
Surgical procedures,operative
Surgical indications
Disputes
