| 高位胆管癌不同治疗方式的疗效评价 |
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| 引用本文： | 陈卫东,胡继雄,苗雄鹰,钟德午,王群伟.高位胆管癌不同治疗方式的疗效评价[J].中国现代医学杂志,2008,18(16):2380-2382. |
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| 作者姓名： | 陈卫东 胡继雄 苗雄鹰 钟德午 王群伟 |
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| 作者单位： | 中南大学湘雅二医院,普通外科,湖南,长沙,410011 |
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| 摘 要： | 目的 探讨高位胆管癌的有效治疗方法.方法 回顾性分析2002年1月-2007年1月间该院收治的48例肝门部胆管癌的临床资料,对48例患者按不同的治疗方式分为根治性切除、根治性切除 肝动脉置管化疗、姑息性切除、胆肠内引流和外引流5组,分析各种治疗方式与生存时间和并发症的关系.结果 全组手术切除率及手术并发症发生率为37.5%(18/48).围手术期手术死亡率为0.0%,术后平均生存期10.8个月,随访时闰为0、4～5 a不等,随访率为91.8%.切除组与引流组比较,在平均生存期、1、2和3年生存率等方面明显优于引流组(P<0.05),而两者并发症发生率则差异无显著性(P>0.05).而根治性切除组的平均生存期、1、2和3年生存率又明显优于姑息性切除组(P<0.05).结论 肝门部胆管癌的治疗首选根治性切除,结合肝动脉置管化疗效果更好,姑息性切除的疗效优于各种内外引流术.
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| 关 键 词： | 胆管肿瘤/外科手术 肝切除术 化疗 |
Therapeutic effect evaluation on different treatments to Hilar cholangiocarcinoma |
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| CHEN Wei-dong,HU Ji-xiong,MIAO Xiong-ying,ZHONG De-wu,WANG Qun-wei.Therapeutic effect evaluation on different treatments to Hilar cholangiocarcinoma[J].China Journal of Modern Medicine,2008,18(16):2380-2382. |
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| Authors: | CHEN Wei-dong HU Ji-xiong MIAO Xiong-ying ZHONG De-wu WANG Qun-wei |
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| Institution: | CHEN Wei-dong,HU Ji-xiong,MIAO Xiong-ying,ZHONG De-wu,WANG Qun-wei (Department of General Surgery,the Second Xiangya Hospital of Central South University,Changsha,Hunan 410011,P.R. China) |
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| Abstract: | Objective]To study the effective therapeutic methods for the treatment of hilar bile duct cancer.Methods] According to different therapeutic methods , 48 cases were put in 5 groups of radical resection , radical resection and TAE, local resection, cholangiojejuno Roux-en-Y anastomosis inner drainage and external drainage. The relations between different therapeutic procedures, survival time and complications were analysed.Results] The survival time of radical resection group averages 22 months, radical r... |
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| Keywords: | bile Ductneoplasm/surgery liver resection TAE |
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