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| 肝癌伴胆道癌栓的诊治及误诊原因分析 | |
| 引用本文： | 程国何. 肝癌伴胆道癌栓的诊治及误诊原因分析[J]. 医药论坛杂志, 2004, 25(5): 13-15,18 |
| 作者姓名： | 程国何 |
| 作者单位： | 广东省中山市博爱医院外科,中山市,528400 |
| 摘 要： | 目的 总结肝癌伴胆道癌栓的诊治经验和误诊原因．方法 综合分析16例病例的一般资料、临床表现、影像学和病理检查以及手术治疗情况、结果16例病人均经手术和病理证实．无围手术期死亡，本组16例中4例术前误诊，误诊率为25％．结论 术前胆道癌栓(Cancer embolus of biliary tract，CEBT)诊断困难，影像学检查确诊率低，术前尚有部分患者未发现肝占位病变(甚至术中也未发现)．术中癌栓冰冻切片病理检查也有漏诊，是误诊的主要原因．积极手术治疗和综合治疗是提高生活质量和改善预后的有效方法。 |
| 关 键 词： | 胆道癌拴 诊断 治疗 误诊 |
| 文章编号： | 1672-3422(2004)05-0013-04 |
Surgical Treatment and Misdiagnostic Analysis of PHC - CEBT |
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| CHENG Guohe. Surgical Treatment and Misdiagnostic Analysis of PHC - CEBT[J]. Journal of Medical Forum, 2004, 25(5): 13-15,18 | |
| Authors: | CHENG Guohe |
| Affiliation: | CHENG Guohe Department of surgery,Boai Hospital of Zhongshan City,Zhongshan 528400,China |
| Abstract: | Objective To analyze surgical treatment and misdiagnostic reasons of PHC-CEBT.Methods Cases data,clinical manifestation,pathological findings and imagines data of 16 cases of PHC were comprehensively analyzed.Results There was no death case after resection.4 cases among 16 was misdiagnosted before operation(25%).Conclusion Cancer embolus is difficult to diagnosis with data of imagines and pathological findings.Surgical operation treatment of PHC-CEBT is effective,it can increase the survival rate and improve life quality. |
| Keywords: | CEBT Diagnosis Treatment Diagnostic errors |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |