摘要
目的 :探讨肝门胆管癌的治疗方法及其预后。方法 :回顾性比较不同治疗方法的应用和效果 ,分析预后因素。结果 :根治性切除手术组的 1,2 ,3和 5年生存率分别为 92 .49% ,5 9.85 % ,45 .0 6 % ,2 5 .75 % ;非根治切除手术组分别为 36 .6 9% ,7.34% ,3 .6 7% ,和 3.5 7% ;开腹探查的各种姑息性引流手术和非手术引流组仅有 1年生存率 ,分别为 2 6 %和 30 .38%。结论 :根治性切除术疗效最佳 ,肿瘤分化程度 ,手术切缘残癌及淋巴结移状况对预后有显著影响。
Objective:To explore surgical treatments and the prognosis of hilar cholangiocarcinoma.Methods:The approach and effect with different surgical treatments were compared in this retrospective study,and the prognostic factors analyzd.Results:The 1-,2-,3-and 5-year survival rate in the group after a curative resection was 92.49%,59.85%,45.06%and 25.75%;and 36.69%,7.34%,3.67%and 3.57% in the group with a palliative resection;the group with a palliative draining operations or with a nonoperative managements had 1-year survival rate only,was 26% and 30.38%,respectively.Conclusions:The curative resection was the best way to obtain better prognosis,tumor differentiation,residual tumor of margin and lymph node metastases were considered to have significant effect on prognosis.
出处
《中国现代医学杂志》
CAS
CSCD
2001年第4期15-17,共3页
China Journal of Modern Medicine
关键词
肝门胆管癌
预后
手术切缘
胆道镜
治疗
Hilar Cholangiocarcinoma
Prognosis
Operative Margin
Choledochofiberscopy
