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肝胆管结石合并肝胆管癌的诊断与治疗(附45例报告) 被引量:17

The dignosis and treatment of 45 cases patients with hepatocholangiocarcinoma acompanying hepatochlelithiasis.
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摘要 对12年来收治的肝胆管结石合并肝胆管癌45例进行分析,发现其伴发率为9.7%,术前确诊率为6.7%。高分化腺癌占71.1%。肿瘤位于肝门部40%,左肝外叶33.3%。切除肿瘤18例(40%),平均生存32.4个月,姑息性内引流11例,平均生存11.4个月;行胆道外引流11例,平均生存5.3个月。 The clinical and pathological data of the patients with hepatocholangiocarcinoma acompanying hepatocholelithiasis within 12 years were analysed.It was found that there was 9 7% acompanying rate between hepatochlelithiasis and hepatocholangiocarcinoma.There was only 6 7% correct dignosis rate of hepatocholangiocarcinoma in preoperation and its pathological types was 71 1% well differentiated adenocarcinoma;The most common occurrence sites of the tumors was at the liver porta,the second was at the left liver lobe;18 cases patients tumors was resected and its resect rate was 40%,its average survial was about 32 4 months;intrahepatic ductal enteric anastomoses had been taken in 11 cases patients,its average survival was about 11 4 months;extrobiliary drainage had been taken in 11 cases patients,its average survial was about 5 3 months.
出处 《中国实用外科杂志》 CSCD 北大核心 1997年第9期544-545,共2页 Chinese Journal of Practical Surgery
关键词 胆结石 胆管肿瘤 并发症 诊断 治疗 Cholelithiasis,Cholangiocarcinoma
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