摘要
目的总结肝门部胆管癌的诊断和手术经验。方法回顾性分析1995年1月-2004年12月10年手术治疗的58例肝门部胆管癌的临床资料。结果58例手术切除中22例(37.9%)行根治性切除,26例(44.8%)行非根治性切除,10例行胆管外引流术。无手术死亡。58例中30例获随访,随访率为51.7%。其中11例现仍存活,根治性切除者存活10例,非根治性切除者存活1例,胆管外引流术者无存活,3组生存率采用方差分析方法比较,有非常显著性差异(P<0.01)。术后生存时间最短为28天,最长已生存达5年7个月。结论手术切除,特别是根治性切除治疗肝门部胆管癌可取得较好的疗效。
Objective To summarize the experience of surgical resection of 58 hilar cholangiocarcinoma, Methods The clinical data of 58 patients with hilar cholangiocarcinoma surgically treated in our hospital from January 1995 to December 2004 were retrospectively analyzed, Results The 58 were divided into the radical resection group （ n = 22, 38.0 % ） palliative resection group（n =26, 44.8 % ） and external drainage group （n = 10,17.2% ） according to different kinds of treatments. None of patients died during operation, The postoperative total follow-up rate was 51.7% （30/58）, and 11 cases were still survived, including 10 cased in the radical resection group, and 1 case in palliative resection group. There is statistical difference in survaval rate among 3 groups （One-Way-Anova, P 〈0.01 ）. In the 30 following cases, the maximum and minimum surviving time were 67 months and 28 days. Conclusion Resection group, especially radical resection group has good therapeutic effect in hilar cholangiocarcinoma.
出处
《实用癌症杂志》
2007年第4期370-372,共3页
The Practical Journal of Cancer
关键词
肝门部胆管癌
诊断
外科手术切除
Hilar colangiocarcinoma
Diagnose
Surgical resection
