| 合并胆道癌栓原发性肝癌的外科治疗 |
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| 引用本文： | 赵希学,丁磊. 合并胆道癌栓原发性肝癌的外科治疗[J]. 华中科技大学学报(医学版), 2004, 33(2): 234-236 |
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| 作者姓名： | 赵希学 丁磊 |
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| 作者单位： | 1. 山东胜利石油管理局中心医院普外科,东营,257034
2. 华中科技大学同济医学院附属同济医院肝脏外科中心,武汉,430030 |
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| 摘 要： | 目的:探讨合并胆道癌栓原发性肝癌的临床特点及外科治疗。方法:回顾性分析胜利油田中心医院自1992年10月至2002年10月手术治疗的280例肝癌患者，其中11例合并有胆道癌栓的患者均行外科治疗并进行分析总结。结果:合并胆道癌栓的患者占同期肝癌患者的3．9％(11／280)，患者术前诊断率为54．5％(6／11)。手术分别采取局部切除或肝段切除加胆总管切开取栓“T”管引流术及其它相应的姑息性治疗措施。中位生存时间为14个月左右，最长已达42个月。结论:合并胆道癌栓的肝癌并非都是晚期表现，如及早地诊断及外科治疗能改善胆道癌栓肝癌患者的生存质量。
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| 关 键 词： | 合并症 胆道癌栓 原发性肝癌 外科治疗 临床特点 |
| 修稿时间： | 2003-06-28 |
Surgical Treatment of Primary Hepatocellular Carcinoma Complicated with Bile Duct Embolus |
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| Zhao Xixue ,Ding Lei Central Hospital of Shengli Oilfield Administration,Dongying Hepatic Surgery Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan. Surgical Treatment of Primary Hepatocellular Carcinoma Complicated with Bile Duct Embolus[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2004, 33(2): 234-236 |
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| Authors: | Zhao Xixue Ding Lei Central Hospital of Shengli Oilfield Administration Dongying Hepatic Surgery Center Tongji Hospital Tongji Medical College Huazhong University of Science Technology Wuhan |
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| Affiliation: | Zhao Xixue 1,Ding Lei 2 1 Central Hospital of Shengli Oilfield Administration,Dongying 257034 2 Hepatic Surgery Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030 |
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| Abstract: | Objective To explore the clinical features and surgical treatment of hapatocellular carcinoma complicated with biliary tumor thrombi. Methods From Oct. 1992 to Oct. 2002, among the 280 patients subject to hepatectomy for hepatocelluar carcinoma, 11 had bile duct thrombi with obstructive jaundice and subjected to surgical treatment. They were retrospectively analyzed.Results The diagnosis ratio of the patients was 54 5 % (6/11) before operation. All the 11 patients complicated with biliary tumor thrombi received local hepatecotomy or segmentectomy in combination with tumor thrombectomy through a choledochotomy and other palliative treatment. The median survival time was about 14 months. The longest one was 42 months. Conclusion Macroscopic biliary tumor thrombi from HCC do not imply a dismal prognosis. Early detection and surgical treatment can approve the living quality of HCC patients complicated with biliary thrombi. |
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| Keywords: | primary hepatocellular cancer biliary tumor thrombi |
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