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肝胆管结石合并肝胆管癌临床特征的探讨
引用本文:黄长玉,黄建富,殷凤峙,沈娟,陈燕凌,蔡欣然. 肝胆管结石合并肝胆管癌临床特征的探讨[J]. 肝胆外科杂志, 2001, 9(2): 91-92
作者姓名:黄长玉  黄建富  殷凤峙  沈娟  陈燕凌  蔡欣然
作者单位:福建医科大学附属协和医院肝胆外科
摘    要:目的:探讨肝胆管结石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29例肝胆管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6.01%,临床上易将合并肝胆管癌的症状误为结石所致,术前能明显诊断仅31.03%,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,预后不良。

关 键 词:肝胆管结石 肝胆管癌 诊断
文章编号:1006-4761(2001)02-0091-02
修稿时间:2001-01-08

CLINICAL FEATURES OF CHOLANGIOCARCINOMA ASSOCIATED WITH HEPATOLITHIASIS
H uang Changyu,H uang Jianfu,Yin Fengshi,et al.. CLINICAL FEATURES OF CHOLANGIOCARCINOMA ASSOCIATED WITH HEPATOLITHIASIS[J]. Journal of Hepatobiliary Surgery, 2001, 9(2): 91-92
Authors:H uang Changyu  H uang Jianfu  Yin Fengshi  et al.
Affiliation:H uang Changyu,H uang Jianfu,Yin Fengshi,et al.Department of H epatobilary Surgery,Union H ospital,Fujian Medical University,Fu Zhou 35 0 0 0 1
Abstract: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.
Keywords:Hepatolithiasis  Cholangiocarcinom a  Diagnosis and treatm ent
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