| 原发性肝癌伴胆道癌栓的诊治 |
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| 引用本文： | 王颖勃,徐忠立. 原发性肝癌伴胆道癌栓的诊治[J]. 肝胆外科杂志, 2004, 12(6): 407-409 |
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| 作者姓名： | 王颖勃 徐忠立 |
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| 作者单位： | 深圳市福田人民医院普外科,福田,518033;深圳市福田人民医院普外科,福田,518033 |
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| 摘 要： | 目的 总结原发性肝癌伴胆道癌栓的诊断和治疗方法。方法 回顾性分析16例患者的临床资料及影响预后的相关因素。结果 原发灶未切除仅T管引流2例，术后生存时间为2．5个月和4．5个月。14例原发灶切除者．术后生存1年、1.5～2年、2～2.5年、2.5～3年分别为12例、9例、6例和3例，其中1例存活4．5年。结论 提高对原发性肝癌伴胆道癌栓的认识，及早诊断并积极手术治疗是改善预后的关键。
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| 关 键 词： | 原发性肝癌 胆道癌栓 手术治疗 |
| 文章编号： | 1006-4761(2004)06-0407-03 |
| 修稿时间： | 2004-02-27 |
DIAGNOSIS AND TREATMENT OF PRIMARY HEPATOCELLULAR CARCINOMA WITH TUMOR THROMBUS IN THE BILE DUCT |
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| WANG Ying-bo,XU Zhong-li. DIAGNOSIS AND TREATMENT OF PRIMARY HEPATOCELLULAR CARCINOMA WITH TUMOR THROMBUS IN THE BILE DUCT[J]. Journal of Hepatobiliary Surgery, 2004, 12(6): 407-409 |
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| Authors: | WANG Ying-bo XU Zhong-li |
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| Affiliation: | WANG Ying-bo,XU Zhong-li.Department of General Surgery,Shenzhen Futian Hospital,Shenzhen 518033,China) |
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| Abstract: | Objective To summarize the methods of diagnosis and treatment for primary hepatocellular carcinoma (PHC) with tumor thrombus in the bile duct(TTBD).Methods The clinic data and factors affecting prognosis in 16 cases of PHC with TTBD were analyzed retrospectively.Result All patients were followed up. The two patients in nonhepatectomy survived 2.5 and 4.5 months. Twelve patients in hepatectomy survived over 1 years and one patient survived 4.5 years. Conclusion Early diagnosis and surgical removal PHC with TTBD are the key points to prolong the survival time of patients. |
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| Keywords: | PHC TTBD surgical treatment |
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