摘要
目的 总结肝门部胆管癌的临床诊断及治疗经验。方法 回顾性分析1993年5月至2006年4月97例肝门部胆管癌患者的临床资料。结果 97例患者中，首诊原因为进行性无痛性黄疸85例。根治性切除29例，姑息性切除26例，胆管引流42例。总手术切除率为57％（55／97）。根治性切除术后1、2、3年生存率分别为69％（67／97）、31％（30／97）、21％（20／97），姑息性切除术后1、2年生存率分别为42％（11／26）、23％（6／26）。引流的患者生存时间均〈12个月。结论 要重视无黄疸患者肝门部胆管癌的诊断；为保证治疗的根治性可适当扩大联合脏器切除的范围，以延长患者生存期。
Objective To summarize the experience in diagnosis and treatment of hilar cholangiocarcinoma （HCCA）. Methods The clinical data of 97 patients with HCCA admitted in our hospital from May 1993 to April 2006 were analyzed retrospectively. Results Of all, 85 patients were initially diagnosed as progressive painless jaundice. Radical resection was performed on 29 patients, palliative resection on 26 and biliary drainage on 42. The total resection rate was 57% （55/97）. The 1-, 2- ,3-year survival rates after radical resection were 69% （67/97） , 31% （30/97） and 21% （20/97） , and 42% （11/26）, 23% （6/26） for the 1-, 2-year survival rates after palliative resection. The survival time of patients treated by drainage was less than 12 months. Conclusions The diagnosis of HCCA patients without jaundice should be attached great importance. Extended radical resection of viscera is necessary to prolong the life-span of patients.
出处
《中华消化外科杂志》
CAS
CSCD
2008年第1期22-24,共3页
Chinese Journal of Digestive Surgery
关键词
胆管肿瘤
肝门部
根治性切除
Biliary neoplasm
Porta hepatis
Radical resection
