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2000～2004年手术治疗的肝门部胆管癌的临床资料.结果34例中手术切除18例,切除率52.94%,其中根治性切除率为44.44%,切除组与引流组的平均生存期分别为16.7个月与7.8个月,二者疗效差异有显著意义P＜0.05.结论肝门部胆管癌应争取手术切除,减黄措施应首选手术内引流.
Objective To explore the difference of therapeutic effects of different surgical treatments for hilar cholangiocarcinoma. Method Clinical data of 34 patients with hilar cholangioearcinoma treated surgically were analysed retrospectively. Results Of the 34 patients, 18 underwent resection. The total resection rate was 52.94% and the radical resection rate 44.44%. The mean survival time was 16.7 months for those who underwent resection and 7.8 months for those who did not（P 〈 0.05）. There was significant difference between resection group and drainage group. Conclusion Surgical resection is still the choice for the treatment of hilar cholangiocarcinoma, and the best way to reduce jaundice is internal drainage surgically.
出处
《山西医科大学学报》
CAS
2005年第5期609-611,共3页
Journal of Shanxi Medical University
关键词
胆管肿瘤
外科手术
预后
bile duct neoplasms
surgical procedures,operative
prognosis
