摘要
目的 探讨肝胆管结石合并肝胆管癌临床表现特征 ,提高对本病的诊治水平。方法 回顾性总结分析近 8年来收 2 9例肝胆管结石合并肝胆管癌的临床资料。结果 肝胆管结石约占胆石症的 39.2 % ,其中合并癌 6 .0 1%。临床上易将合并肝胆管癌的症状误为结石所致 ,术前能明确诊断仅 31.0 3%。结论 长期反复发作的肝胆管结石的患者易合并胆管癌 ,目前尚缺乏特异性早期诊断方法 ,疗效差 。
Objective To investigate the clinical features of cholangiocarcinom a related to hepatolithiasis in order to im prove the diagnosis and treatment .Methods The clinical m eterials of 2 9cases with the cholangiocarcinom a related to hep- atolithiases was summ arized and analysed retrospectly.Results 39.2 % patients with cholelithiases treated in our department during the past 8years were hepatolithiasis,6 .0 1% cases were associated with cholangiocarcinoma.In clinic the symptom re- sulted from carcinom a was frequently mistaken with the bile stone.Only 31.0 1% cases were diagnosed accuratly in preopera- tion.Conclusion The patients with long- term recurrent hepatolithiasis tended to occure cholangiocarcinom a.The special early diagnosis of the diease was absent at preasent,the curative effect and prognosis were poor.
出处
《肝胆外科杂志》
2001年第2期91-92,共2页
Journal of Hepatobiliary Surgery
关键词
肝胆管结石
肝胆管癌
诊断
Hepatolithiasis
Cholangiocarcinom a
Diagnosis and treatm ent
