摘要
目的 总结肝门部胆管癌的早期诊断和手术治疗方法。方法 回顾性分析经手术和病理证实的肝门部胆管癌 3 1例的临床特征、手术方法和随访结果。结果 3 1例中根治切除率 2 5 8% ( 8/ 3 1)。根治切除 1、3、5年生存率分别为 10 0 % ( 7/ 7) ,42 9% ( 3 / 7) ,14 3 % ( 1/ 7)。姑息切除 1、2、3年生存率分别为 66 7% ( 6/ 9) ,2 2 2 % ( 2 / 9) ,0 ( 0 / 9)。未切除者平均生存 13个月。结论 早期诊断能提高肝门部胆管癌的根治性切除 ,对不能切除者尽量行姑息性引流 ,以延长患者生存期及提高生存质量。
Objective To summarize our experiences on earlier period diagnosis and surgical treatment of hilar cholangiocarcinoma.Methods 31 patients with hilar cholangiocarcinoma were analysed retrospectively, the data including clinic features, operative management and follow-up outcome.Results In 8 of the resected patients, radical resection was performed (25.8%). In the radical resection group, the 1-, 3-, 5-year survival rates were 100%, 42.9%, and 14.3%, respectively. The 1-, 2-, 3-year survival rates of palliative operation were 66.7%, 22.2%,and 0, respectively. The mean survival period of unresectable group is 13 months.Conclusions Earlier-diagnosis can rise the radical resection rate of the hilar cholangiocarcinoma, palliative resection can prolong the survival period and improve the life quality.
出处
《河南肿瘤学杂志》
2004年第5期334-336,共3页
Henan Journal of Oncology
关键词
胆管癌
诊断
手术
cholangiocarcinoma
diagnosis
operation
