| 56例肝门部胆管癌外科治疗体会 |
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| 引用本文： | 李晓鸥,王平,李成林,张宏文,吉敏,杨建武,周立艳,崔彦.56例肝门部胆管癌外科治疗体会[J].肝胆胰外科杂志,2009,21(6):454-456. |
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| 作者姓名： | 李晓鸥 王平 李成林 张宏文 吉敏 杨建武 周立艳 崔彦 |
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| 作者单位： | 解放军第306医院,普通外科中心,北京,100101 |
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| 摘 要： | 目的 探讨肝门部胆管癌的诊断方法和外科治疗的疗效.方法 回顾性分析1996年1月至2006年1月间对56例肝门部胆管癌诊疗的临床资料及随访结果.结果 应用B超及MR等多种影像学技术对肝门部胆管癌的定位诊断率100%.56例行手术治疗,其中探查术5例,内、外引流术23例,均于术后2～15个月死亡.切除术28例(50.0%),行根治性切除24例(42.9%).中位生存期为29个月,姑息性切除4例,中住生存期为12个月.结论 超声检查联合MRCP能对肝门部胆管癌的定位诊断及评判手术切除有重要价值;根治性切除是改善肝门部胆管癌疗效的重要措施.
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| 关 键 词： | 肝门部胆管癌 外科手术 治疗 |
Surgical treatment of hilar cholangiocarcinoma in 56 cases |
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| LI Xiaoou,WANG Ping,LI Chenglin,et al..Surgical treatment of hilar cholangiocarcinoma in 56 cases[J].Journal of Hepatopancreatobiliary Surgery,2009,21(6):454-456. |
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| Authors: | LI Xiaoou WANG Ping LI Chenglin |
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| Institution: | LI Xiaoou,WANG Ping,LI Chenglin,et al. Department of General Surgery,the 306th Hospital of PLA,Beijing 100101 |
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| Abstract: | Objective To explore the therapeautic effect of the diagnosis and effective surgical treatment of hilar cholangiocarcinoma. Methods The clinical data, diagnosis and the result of follow-up in 56 patients with hilar cholangiocarcinoma from January 1996 to January 2006 were analyzed retrospectively. Results Fifty-six patients with hilar cholangiocarcinoma were diagnosed preoperatively by images of ultrasonograpy and MRCP, with 100% of the diagnostic accuracy rate. All cases were subjected to surgical treatmen... |
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| Keywords: | hilar cholangiocarcinoma surgical procedures therapy |
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