摘要
目的 探讨肝门部胆管癌的诊断及手术治疗方法。方法 回顾性分析 73例肝门部胆管癌的临床特点、手术方法及治疗效果。结果 本组术前均明确诊断。B超诊断符合率为 6 9 9%。根治性切除 15例 ,近期效果良好 ;各种胆管内外引流术 43例 ,37例获缓解 ,手术后死亡 6例 ;剖腹探查或肝动脉插管化疗 15例 ,术后短期内病情无变化。获根治性切除 15例中 ,11例得到随访 ,1,3年生存率分别为 90 9% ,2 0 0 % ,无 5年生存者。其他各种术式的生存时间无超过 9个月者。结论 肝门部胆管癌早期诊断仍困难 ,联合应用影像学检查可明确诊断 ,B超为首选检查方法。目前根治性切除率仍较低 ,肝方叶切除对最后选定手术方式有一定帮助。
Objective To evaluate the diagnosis and surgical treatment of hilar cholangiocarcinoma(H CC). Methods Retrospective analysis was made on the clinical feature, surgical treatment and the effect on 73 patients with H CC. Results Diagnosis was made in all of the patients preoperatively and the correct diagnostic rate of BUS was 69.9%. In the treatment, radical resection was performed on 15 patients with good results in a short term period. Of the 43 patients who underwent biliary tract internal drainage or exterrnal drainage, 37 patients had good results in a short term period, while 6 died after operation. Laparotomy or hepatic artery cannulization with chemotherapy was performed on 15 patients and no change occurred in a short term period after operation. In 15 cases subjected to radical resection, 11 cases were followed up. The 1,3 year survival rates was 90.9%, 20.0% respectively, but none of the patients survived for over 5 years. In patients undergoing other operations, none survived more than 9 months. Conclusions It's still difficult to mak early diagnosis of H CC, which mainly depends on imaging technics. The BUS should be choiced first. Radical resection rate is still low nowadays. The lobus quadratus resection is helpful to select the operation.
出处
《中国普通外科杂志》
CAS
CSCD
2001年第1期11-13,共3页
China Journal of General Surgery
关键词
腺癌
治疗
胆管癌
外科手术
BILE DUCT NEOPLASMS/surg
HEPATIC DUCT,COMMON/surg
ADENOCARCINOMA/surg
