| 原发性肝癌合并胆管癌栓的诊断和外科治疗 |
| |
| 引用本文： | 桂水清,包士廷,宫晓光. 原发性肝癌合并胆管癌栓的诊断和外科治疗[J]. 海南医学, 2009, 20(8): 29-31 |
| |
| 作者姓名： | 桂水清 包士廷 宫晓光 |
| |
| 作者单位： | 广东省深圳市宝安区龙华医院,广东,深圳,518109;广东医学院附属医院,广东,湛江,524001;海南省人民医院,海南,海口,570311 |
| |
| 摘 要： | 目的探讨原发性肝癌合并胆管癌栓的诊断和外科治疗效果。方法回顾性分析2002年5月至2009年1月间收治的43例原发性肝癌合并胆管癌栓的临床资料。结果肿瘤切除和（或）胆管切开取癌栓术1年、3年、5年生存率分别为57．14％（16／28）、35．71％（10／28）、10．71％（3／28）；而胆管切开取癌栓术和（或）选择性肝动脉插管栓塞化疗1年、3年、5年生存率分别为20．0％（3／15）、0％（0／15）、0（0／15）；总的1年、3年、5年生存率分别为44．18％（19／43）、23．26％（10／43）、6．98％（3／43）。结论外科治疗明显改善原发性肝癌合并胆管癌栓患者的生活质量，提高了生存时间，而肿瘤切除和（或）胆管切开取癌栓术是原发性肝癌合并胆管癌栓的积极有效方法。
|
| 关 键 词： | 原发性肝癌 胆管癌栓 外科手术 |
Diagnosis and surgical treatment of primary liver cancer with carcinoma thrombosis of biliary |
| |
| Gui Shui-qing,Bao Shi-ting,Gong Xiao-guang. Diagnosis and surgical treatment of primary liver cancer with carcinoma thrombosis of biliary[J]. Hainan Medical Journal, 2009, 20(8): 29-31 |
| |
| Authors: | Gui Shui-qing Bao Shi-ting Gong Xiao-guang |
| |
| Affiliation: | Gui Shui - qing , Bao Shi- ting, Gong Xiao - guang . ( Longhua Hospital of Baoan District, Shenzhen 518109, Guangdong , P. R. CHINA) |
| |
| Abstract: | Objective To explore the diagnosis and surgical effect of primary liver cancer with carcinoma thrombosis of biliary. Methods The clinical data of 43 patients of PLC with carcinoma thrombosis of biliary were retrospectively analyzed. Results Among 28 cases with radical resection, 1, 3, 5 year survival rate were 57. 14%, 35.71% and 10.71%, respectivly; among 15 patients with palliative resection, 1, 3, 5 year survival rate were 20.00% , 0 and 0 , respectivly; for all of 43 patients, 1,3, 5 year survival rate were 44.18% , 23.26% and 6.98%, respectivly. Conclusion By surgical therapy, the life quality and the survival time was improved. The radical resection is an active and efficient management for primary liver cancer with carcinoma thrombosis of biliary. |
| |
| Keywords: | Primary liver cancer（PLC） Carcinoma thrombosis of biliary Surgical operation |
| 本文献已被 维普 万方数据 等数据库收录！ |
|
