摘要
[目的]比较高位胆管癌不同治疗方式的疗效及安全性.[方法]回顾性分析46例肝门部胆管癌的临床资料.[结果]全组手术切除率34.8%（16/46）,围手术期无一例死亡,胆管炎发生率：根治性切除术组（20%）低于内、外引流术组（31.2%）.术后生存期：根治性切除术组为（15.4±6.8）个月,显著高于空肠Roux-en-Y吻合术（9.5±2.7 月）及内、外引流术组（5.4±2.7月）（P〈0.05）.[结论]高位胆管癌的手术疗效与术式密切相关,首选根治性切除,姑息性切除的疗效优于各种内、外引流术.
[Objective] To study the efficacy and safety of different methods for the treatment of hilar cholangiocarcinoma. [Methods]The clinical data of 46 cases with hilar cholangiocareinoma were analyzed retrospectively. [Results]The rate of radical resection was 34.8% （16/46）, and there was no death. The incidence of eholangitis in radical excision group（20 % ） was lower than that in internal and external drainage groups（31. 2%）. The postoperative survival time in radical excision group（15.4±6.8months） was significantly longer than that in jejunum Roux-en-Y anastomosis group（9. 5 ± 2. 7 months） and internal and external drainage groups（5.4±2.7 months） （ P〈0.05）. [Conclusion] The efficacy of the operation of hilar cholangiocarcinoma is closely related to the way of the operation. Radical resection is the first choice. The effect of palliation resection is better than that of internal and external drainage.
出处
《医学临床研究》
CAS
2010年第5期872-873,共2页
Journal of Clinical Research
关键词
胆奢癌/治疗
cholangiocarcinoma/TH
