摘要
目的:探讨肝门胆管癌的诊断、外科治疗、预后。方法:回顾性分析我院自2002年9月～2009年11月47例肝门胆管癌患者临床资料,对病因、病理、诊断、治疗综合分析,选择最佳治疗方案,改善生活质量,延长生存期。结果:47例肝门胆管癌患者中行保肝治疗5例,非手术胆道引流术6例,手术胆道引流术8例,姑息性切除13例,根治性切除15例。中位生存期分别为:3、8、12、16、27个月。结论:影响肝门胆管癌预后的决定性因素是早期诊断和肿瘤本身的生物学行,以手术切除为主的综合治疗措施能给患者提供最长的生存期和最好的生活质量。
Objective：To discuss the diagnosis,comprehensive treatment and prognosis of Hilar Cholangiocarcinoma.Methods：Reviewing and analyzing the clinical data of 47 patients with Hilar Cholangiocarcinoma from September 2002 to November 2009,thencarrying out comprehensive analysis of the etiology,pathology,diagnosis and treatment,and selecting the best treatment to improve patients＇quality of life and prolong their survival.Results：In the 47 patients with Hilar Cholangiocarcinoma,5 patients received preserved liver treatment and lived for 3 months,6 patients received non-surgical biliary drainage and died after 8 months,8 patients had surgical biliary drainage and lived for 12 months,13 patients received palliative resection treatment and died after 16 months,and 15 patients had radical resection treatment and lived for 27 months.Conclusion：the early diagnosis and the biological characteristic of tumor play decisive role in the prognosis of Hilar Cholangiocarcinoma.Through the study of this paper,it can be noticed that the comprehensive treatments based on surgical excision can bring the longest survival and best quality of life to the patients.
出处
《中国伤残医学》
2012年第6期9-12,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
肝门胆管癌
外科综合治疗
预后
Hilar Cholangiocarcinoma Surgical Comprehensive Treatment Prognosis
