| 原发性肝癌伴胆道癌栓的诊断与治疗 |
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| 引用本文： | 黄燕金,叶观瑞,车斯尧.原发性肝癌伴胆道癌栓的诊断与治疗[J].中国现代医生,2008,46(21):49-50. |
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| 作者姓名： | 黄燕金 叶观瑞 车斯尧 |
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| 作者单位： | 广东省高州市人民医院肝胆科,广东,高州,525200 |
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| 摘 要： | 目的总结原发性肝癌伴胆道癌栓的诊断与治疗方法。方法回顾性分析20例患者临床资料。所有病例均接受外科手术治疗，其中原发肿瘤切除＋胆道癌栓清除＋T管引流16例，单纯癌栓清除＋T管引流＋胆管置管内支架引流4例。术后TACE18例。所有病例均予化疗药物T管滴注。结果手术切除率为80％，10例1年内死亡，7例2年内死亡，3例3年内死亡。结论原发性肝癌伴胆道癌栓患者积极的外科手术治疗，解除胆道梗阻，术后辅以区域性化疗，是提高疗效、延长患者生存期的必要措施。
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| 关 键 词： | 癌 肝细胞 胆道 栓子 诊断 外科治疗 |
Diagnosis and Treatment of Primary Hepatoceiiular Carcinoma with Tumor Thrombus in the Bile Duct |
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| Authors: | HUANG Yanjin YE Guanrui CHE Siyao |
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| Institution: | (Department of Hepatobiliary Surgery, Gaozhou People＇ s Hospital, Guangdong 525200) |
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| Abstract: | Objective To summarize the methods of diagnosis and treatment for primary hepatocellular carcinma(PHC) with tumor thrombus in the bile(TTBD) .Methods The clinic data in 20 cases of PHC with TTBD were analyzed retrospectively,accomplished surgical treatment in all patients.16 cases underwent primary tumor resection and CEBT elimination and T-tube drainage,simple elimination of canaer embolus and T-tube drainage and drainage inside bile duct.TACE in 18 cases.Chemoth-rapeutic drug T-tube drip in all patients.R... |
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| Keywords: | Carcinoma Hepatocellular Hepatocyte Bile duct Diagnosis Liver resection |
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