摘要
目的 探讨老年性肝门部胆管癌的诊断和治疗。方法 回顾性分析从1995年1月～2005年12月收治的97例老年性肝门部胆管癌患者的临床资料和随访资料。结果 97例中,28例行根治性切除术,25例行姑息性切除术,30例行介入治疗术,主要为胆道引流加动脉栓塞化疗,其余的14例既未行外科亦未行介入治疗（包括10例仅行胆道引流,4例仅行内科治疗）。根切组、姑切组及介入组的1、2、3年生存率分别为82.4%、64.3%、57.4%,80.0%、50.0%、32.0%和50.0%、30.0%、10%,非手术及介入治疗组无1例存活12个月以上。术后并发症率为31.9%（31/97）,术后病死率为1.0%（1/97）。结论 外科治疗是老年性肝门部胆管癌的主要治疗方法,而介入治疗有时亦是一种较好选择,重要的是认真评估患者病情,选择合适治疗方法和重视围手术期处理。
Objectire To investigate the diagnosis and treatment of hilar bileduct carcinoma in elderly patients. Methods The clinical data of 97 elderly patients who suffered from hilar bileduct carcinoma were retrospectively analyzed. Result Amony the 97 cases, 28 patients underwent radical resection, 25 patients underwent palliative resection, 30 patients did interventional radiology treatment （transarterial chemoembolization after biliary drainage）, the rest 14 Patients were not treated with surgery or intenventional radiology. The 1,2,3year Survival rate was 82.4%, 64.3%, 57.4% in radical resection group, 80.0%, 50.0%, 32.0%in palliative resection group and 50.0%, 30.0%, 10.0% in interventional treatment group. All the patients in the group without surgery or interventional treatment died within 12 months. The rate of complication gas 31.9% and only one patient died after operation. Conclusion Surgery is the main treatmmt method for hilar bileduct carcinoma in elderly patients, while interventional treatment is also a better choice in some cases.
出处
《国际医药卫生导报》
2007年第12期51-53,共3页
International Medicine and Health Guidance News
关键词
肝门部胆管癌
老年
诊断
外科治疗
介入治疗
Hilar bileduct carcinoma The aged Diagnosis Surgery Interventiond radioeogy
