| 肝癌合并胆管内癌栓的诊断与治疗效果 |
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| 引用本文： | 宋晓雪,谢炜,孙安仁,傅翔. 肝癌合并胆管内癌栓的诊断与治疗效果[J]. 第三军医大学学报, 2006, 28(14): 1514-1516 |
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| 作者姓名： | 宋晓雪 谢炜 孙安仁 傅翔 |
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| 作者单位： | 重庆市中山医院肝胆外科,重庆,400013;重庆市中山医院肝胆外科,重庆,400013;重庆市中山医院肝胆外科,重庆,400013;重庆市中山医院肝胆外科,重庆,400013 |
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| 摘 要： | 目的探讨原发性肝癌伴胆管癌栓的诊断与外科手术治疗效果.方法回顾性分析原发性肝癌伴胆管癌栓11例,应用B超、CT、ERCP等影像学检查明确诊断,采用肝切除、胆管切开取栓等方法彻底清除胆管癌栓,术后行TA-CE治疗.结果无手术死亡,肝癌切除 胆管取栓者9例,生存3～38个月,平均18.5个月.TACE 胆管取栓2例,生存时间分别为6个月和11个月.结论对肝癌侵犯胆管形成癌栓者及时诊断,尽早切除肿瘤、清除癌栓是一种积极有效的治疗方法.
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| 关 键 词： | 原发性肝癌 胆管癌栓 肝切除术 |
| 文章编号： | 1000-5404（2006）14-1514-03 |
| 收稿时间： | 2006-03-06 |
| 修稿时间： | 2006-03-062006-05-08 |
Diagnosis and surgical treatment of primary hepatocellular carcinoma with bile duct thrombi |
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| SONG Xiao-xue,XIE Wei,SUN An-ren,FU Xiang. Diagnosis and surgical treatment of primary hepatocellular carcinoma with bile duct thrombi[J]. Acta Academiae Medicinae Militaris Tertiae, 2006, 28(14): 1514-1516 |
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| Authors: | SONG Xiao-xue XIE Wei SUN An-ren FU Xiang |
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| Affiliation: | Department of Hepatobiliary Surgery, Chongqing Zhongshan Hospital, Chongqing 400013, China |
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| Abstract: | Objective To evaluate the effect of surgical treatment for primary hepatocellular carcinoma(HCC) with bile duct thrombi(BDT).Methods Eleven cases were diagnosed as HCC with BDT by B ultrasound,CT,MRCP or ERCP.Hepatectomy and choledochotomy were performed,resecting the primary tumor and cleaning the BDT completely,followed with TACE.Results No patients died during operation.The survival time of 9 patients who received hepatectomy and BDT clearance ranged from 3 to 38(average 18.5) months,and that of the other two patients received TACE and BDT clearance survived 6 and 11 months respectively.Conclusion Accurate diagnosis and radical hepatectomy with complete BDT clearance are effective treatment for HCC with BDT. |
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| Keywords: | hepatocellular carcinoma bile duet thrombi hepatectomy |
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