| 肝门部胆管癌36例诊疗体会 |
| |
| 引用本文： | 汤恢焕,彭创,常实,龚学军,何群,王宪伟,肖广发. 肝门部胆管癌36例诊疗体会[J]. 中华普通外科杂志, 2005, 20(10): 641-643 |
| |
| 作者姓名： | 汤恢焕 彭创 常实 龚学军 何群 王宪伟 肖广发 |
| |
| 作者单位： | 410008,长沙,中南大学湘雅医院普通外科 |
| |
| 摘 要： | 目的探讨肝门部胆管癌的诊疗方法。方法回顾性分析1998年1月至2003年7月收治的36例肝门胆管癌患者的临床资料。结果肝门胆管癌并非少见疾病,而首诊时误诊率较高(39%)。36例均接受手术治疗,根治性切除术16例(44%),中位生存时间为30个月;1、3、5年生存率分别为93%(14/15),50%(5/10)和25%(1/4);各种非根治性切除术20例(56%),中位生存时间为16个月;1、3、5年生存率分别为47%(8/17),8%(1/12),0,(t=2.585)。结论早期诊断及根治性切除术能够提高肝门部胆管癌患者的术后生存率。
|
| 关 键 词： | 胆管肿瘤 诊断 外科手术 |
| 收稿时间： | 2004-10-15 |
| 修稿时间： | 2004-10-15 |
The diagnosis and treatment of hilar bile duct carcinoma: a report of 36 cases |
| |
| TANG Hui-huan,PENG Chuang,CHANG Shi,GONG Xue-jun,HE Qun,WANG Xian-wei,XIAO Guang-fa. The diagnosis and treatment of hilar bile duct carcinoma: a report of 36 cases[J]. Chinese Journal of General Surgery, 2005, 20(10): 641-643 |
| |
| Authors: | TANG Hui-huan PENG Chuang CHANG Shi GONG Xue-jun HE Qun WANG Xian-wei XIAO Guang-fa |
| |
| Affiliation: | Department of General Surgery, Xiang Ya Hospital, Central South University, Changsha 410008 ,China |
| |
| Abstract: | Objective To evaluate the diagnostic and therapeutic methods for hilar bile duct carcinoma. Methods The clinical data of 36 patients with hilar bile duct carcinoma from Jan 1998 to Jul 2003 were retrospectively analyzed. Results The misdiagnosis rate(39%) was high. All patients underwent a surgery. The median survival time of 16 patients treated by radical resection was 30 months. The 1,3,5-year survival rate was 93%,50% and 25% respectively. While the median survival time of the rest 20 patients treated by a variety of non-radical operation was 16 months with 1,3,5-year survival rate of 47%,8% and 0 respectively(t=2.585).Conclusions Early diagnosis and radical resection improves long-term survival of patients with hilar bile duct carcinoma. |
| |
| Keywords: | Bile duct neoplasms Diagnosis Surgical procedures operative |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
