摘要
目的 探讨肝门部胆管癌不同外科治疗方法间的疗效差异。方法 回顾总结 1997～ 2 0 0 2年手术治疗的 63例肝门部胆管癌的临床资料。结果 63例中手术切除 2 8例 ,切除率 44 4% ,其中根治性切除率为5 7 1%。切除组中 14例合并肝切除 ,其中 11例为根治切除。根治切除组与姑息切除组的平均生存期分别为 2 9个月和 12个月 ( P<0 0 5 )。切除组与引流组疗效差异有显著意义 ( P <0 0 5 )。结论 肝门部胆管癌应争取手术切除 ,合理的联合肝叶切除能提高根治性切除率 。
Objective To define the differences of therapeutic effects of different surgical treatments for hilar cholangiocarcinoma. Methods Clinical data of 63 patients with hilar cholangiocarcinoma treated surgically in our hospital from 1997 to 2002 were analysed retrospectively. Results Of the 63 patients,28 underwent resection,total resection rate was 44 4%(radical resection rate, 57 1%). In the resection group, 14 patients, including 11 cases of radical resection, underwent combined hepatectomy. The mean survival time was 29 months for those who underwent radical resection and 12 months for those who did not(P<0 05).There was significant difference(P<0 05) between resection group and drainage group. Conclusion Surgical resection is still the choice for the treatment of hilar cholangiocarcinoma. Proper combined hepatectomy helps to raise the radical resection rate and improve patient's prognosis.
出处
《中国实用外科杂志》
CSCD
北大核心
2003年第6期362-363,共2页
Chinese Journal of Practical Surgery
关键词
肝门部
胆管癌
外科治疗
预后
Hilar cholangiocarcinoma Surgical resection\ Prognosis
