| 老年肝门部胆管癌的诊治特点 |
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| 引用本文： | 张永杰,俞文隆. 老年肝门部胆管癌的诊治特点[J]. 老年医学与保健, 2004, 10(3): 154-156 |
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| 作者姓名： | 张永杰 俞文隆 |
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| 作者单位： | 200438,上海东方肝胆外科医院;200438,上海东方肝胆外科医院 |
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| 摘 要： | 目的探讨老年肝门部胆管癌的诊治特点。方法回顾性分析111例60岁以上肝门部胆管癌的临床资料及随访情况。结果43例行肿瘤根治性切除，10例行肿瘤姑息性切除，20例行手术胆道引流，38例行内镜置管或PTCD引流。行根治性或姑息性肿瘤切除的患者，减黄效果、生活质量改善及术后生存时间均明显优于其他方法。结论对老年肝门部胆管癌的手术治疗应持积极态度。
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| 关 键 词： | 肝门部胆管癌 外科治疗 诊断 老年 |
| 文章编号： | 1008-8296(2004)-03-0154-03 |
| 修稿时间： | 2004-08-02 |
THE DIAGNOSIS AND TREATMENT OF HILAR BILE DUCT CARCINOMA IN ELDERLY PATIENTS |
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| Zhang Yongjie,Yu Wenlong. THE DIAGNOSIS AND TREATMENT OF HILAR BILE DUCT CARCINOMA IN ELDERLY PATIENTS[J]. Geriatrics & Health Care, 2004, 10(3): 154-156 |
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| Authors: | Zhang Yongjie Yu Wenlong |
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| Affiliation: | Zhang Yongjie,Yu WenlongDepartment of Biliary Duct Surgery,Eastern Hepatobiliary Surgery Hospital,Shanghai 200438,China |
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| Abstract: | Objective To discuss the diagnosis and treatment of hilar bile duct carcinoma in elderly patients. Methods From 2000 to 2004, 111 elderly patients ( >60 years) were treated in Eastern Hepatobiliary Surgery Hospital. The clinical data, including concomitant diseases, management and outcome were analyzed retrospectively. Results Among the 111 patients, 43 cases underwent radical resection, 10 cases received palliative resection, and 20 cases were treated with internal or external biliary drainage. The remaining patients were stent either percutaneously or endoscopically. The patients who underwent radical resection, even palliative resection, survived longer than the others, and get on with better life quality as well. Conclusions Surgery is still the treatment of choice for hilar bile duct carcinoma in elderly patients with appropriate conditions. |
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| Keywords: | Hilar bile duct carcinoma Surgery Diagnosis The aged |
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