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肝门部胆管癌术前检查的临床价值(附156例报告)
引用本文:刘小方,邹声泉,田雨霖. 肝门部胆管癌术前检查的临床价值(附156例报告)[J]. 临床外科杂志, 2006, 14(6): 348-349
作者姓名:刘小方  邹声泉  田雨霖
作者单位:264000,青岛大学医学院附属烟台毓璜顶医院肝胆外科;华中科技大学同济医学院附属同济医院普外科;中国医科大学附属第一临床学院普二外科
摘    要:目的探讨术前检查对肝门部胆管癌治疗的临床价值。方法回顾性分析156例肝门部胆管癌术前检查及治疗结果资料。应用χ2检验对资料进行统计学分析。结果(1)本组肝门部胆管癌CA19-9阳性率67.9%。当其大于或等于300U/ml时,行根治性手术机会较低。(2)以B-us CT/CTA MRCP/PTC/ERCP术前联合影像学检查行根治性手术率较高。结论血清CA19-9及影像学联合检查对肝门部胆管癌合理选择治疗方式有重要意义。

关 键 词:肝门部胆管癌  CA19-9  影像检查
文章编号:1005-6483(2006)06-0348-02
收稿时间:2005-07-06
修稿时间:2005-07-06

Clinical value of preoperative examination on hilar cholangiocarcinoma:a study of 156 cases
LIU Xiao-fang,ZOU Sheng-quan,TIAN Yu-lin. Clinical value of preoperative examination on hilar cholangiocarcinoma:a study of 156 cases[J]. Journal of Clinical Surgery, 2006, 14(6): 348-349
Authors:LIU Xiao-fang  ZOU Sheng-quan  TIAN Yu-lin
Affiliation:Department of Hepatobiliary Surgery, Yantai Yuhuangding Hospital, Qingdao University Medical College, Yantai 264000, China
Abstract:Objective To discuss the importance of preoperative examination on hilar cholangiocarcinoma. Methods The clinical data of 156 cases of hilar cholangiocarcinoma were retrospectively and analyzed by x^2 test. Results The positive rate of CA19 - 9 was 67.9%. Radical operation was impossible when CA19 - 9 was above 300 U/ml. The rate of radical operation was higher in the manifold imaging group. Conclusion CA19 - 9 and combined manifold photography are useful to determine the treatments for hilar cholangiocarcinoma.
Keywords:hilar cholangiocarcinoma  CA19-9  imaging study
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