| 40例肝门部胆管癌临床诊断与治疗分析 |
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| 引用本文： | 梁毅,苗雄鹰. 40例肝门部胆管癌临床诊断与治疗分析[J]. 中国现代手术学杂志, 2011, 15(2): 89-91 |
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| 作者姓名： | 梁毅 苗雄鹰 |
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| 作者单位： | 1. 中南大学湘雅医学院第二临床医院普通外科,长沙,410011;湖南省永州市中医院外科,永州,425100
2. 中南大学湘雅医学院第二临床医院普通外科,长沙,410011 |
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| 摘 要： | 目的评价肝门部胆管癌的诊治方法并确定该病的可治愈性。方法回顾性分析40例肝门部胆管癌患者的资料,其中行根治性切除术18例,非根治性手术22例。结果肝门部胆管癌早期无特异症状,误诊率高。行根治性切除术者围术期死亡1例。两组各失访2例,根治性切除术15例,中位生存时间为30（7～70）个月;1、3、5年生存率分别为86.7%,54.5%和25.0%;非根治性切除术20例,中位生存时间为16（4～41）个月;1、3、5年生存率分别为45.0%,7.7%,0。结论术前影像学检查准确的评价可切除性、术中选择适宜的手术方式、合理应用肝切除术是提高疗效的关键问题。根治性切除术是最佳的治疗方式。
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| 关 键 词： | 胆管肿瘤 |
Diagnosis and Treatment On Hilar Cholangiocarcinoma: 40 Cases Report |
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| LIANG Yi,MIAO Xiong-ying. Diagnosis and Treatment On Hilar Cholangiocarcinoma: 40 Cases Report[J]. Chinese Journal of Modern Operative Surgery, 2011, 15(2): 89-91 |
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| Authors: | LIANG Yi MIAO Xiong-ying |
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| Affiliation: | LIANG Yi,MIAO Xiong-ying(Department of General Surgery,Second Xiangya Hospital,Central South University,Changsha 410011,Hunan,China) |
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| Abstract: | Objective To evaluate the diagnosis and treatment of hilar cholangiocarcinoma and to determine the resectability rate for hilar cholangiocarcinoma.Method Forty patients with hilar cholangiocarcinomas were analyzed retrospectively.18 cases underwent radical surgery and the others did non-radical operations.Results The misdiagnosis rate was high because of no specific symptoms in the early stage.One patient underwent radical surgery died perioperatively,and 2 cases lost follow-up in each group.The median surv... |
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| Keywords: | bile duct neoplasms |
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