摘要
目的探讨肝胆管结石合并肝胆管癌患者的临床特征以及治疗过程中的治疗经验。方法 30例肝胆管结石合并肝胆管癌患者,对其临床资料以及病历进行相应的分析。结果通过分析发现,术前能够被确诊的肝胆管结石合并肝胆管癌患者10例,术中被确诊的患者15例,术后经过病理检查确诊的患者5例。左肝胆管癌患者15例,占50.00%,右肝胆管癌患者8例,占26.67%,肝门部胆管癌患者4例,占13.33%,左右肝均出现胆管癌患者3例,占10.00%。CT检查以及MRI检查的阳性率均明显优于B超诊断的阳性率,差异有统计学意义(P<0.05);实施根治术患者的存活时间优于实施姑息治疗的患者,差异有统计学意义(P<0.05)。结论对于胆石症状而言,若患者的病史较长,需要高度怀疑患者是否合并有肝胆管癌的情况,宜用根治术对患者实施治疗。
Objective To investigate clinical characteristics and treatment experience in the treatment of hepatolith complicated with cholangiocarcinoma in our hospital. Methods There were 30 hepatolith complicated with cholangiocarcinoma patients, and their clinical data and medical history were analyzed. Results Analysis showed that there were 10 diagnosed hepatolith complicated with cholangiocarcinoma cases before operation, 15 cases during operation, and 5 cases by pathological examination after operation. There were 15 cases with left cholangiocarcinoma, accounting for 50.00%, 8 cases with right cholangiocarcinoma, accounting for 26.67%, 4 cases with hilar cholangiocarcinoma, accounting for 13.33%, and 3 cases with left and right cholangiocarcinoma, accouting for 10.00%. CT and MRI had obvious better positive rate in examination than B ultrasound（P〈0.05）. Radical operation provided longer survival time in patients than palliative treatment（P〈0.05）. ConclusionPatients with long history of hepatolith should be highly suspected for complicating with cholangiocarcinoma. Radical operation is suitable for their treatment.
出处
《中国实用医药》
2015年第22期15-16,共2页
China Practical Medicine
关键词
肝胆管结石
肝胆管癌
临床治疗
Hepatolith
Cholangiocarcinoma
Curative effect
