摘要
目的探讨肝外胆管癌的诊断和治疗体会。方法回顾性总结42例肝外胆管癌的临床κ料、手术方式、手术并发症及生存率。结果术前诊断符合率达64.3%(27/42),CA19-9阳性率为90.5%,根治性手术25例(59.5%),姑息性手术17例(40.5%),根治性切除肿瘤1、2、3年生存率分别为64%(16/25)、36%(9/25)和12%(3/25);姑息性手术1、2、3年生存率分别为17.6%(3/17)、5.8%(1/17)和0(0/17)。结论早期诊断、正确的评估、合理的术式选择能提高肝外胆管癌的疗效,降低手术并发症及死亡率。
Objective To summarize the methods of diagnosis and operation of extrahepatic cholangio- carcinoma. Methods Clinical data of surgical procedures, operative complications and survival rate of 42 cases with extrahepatie cholangiocarcinoma were analyzed retrospectively,and the related archives were reviewed. Re- stilts In this cases, the correct diagnostic rate before operation was 64.3%, the CA19-9 positvie rate was 90.5%. Among them, 25 cases underwent radical resection, 17 cases palliative operation, the cumulative survival rate at the 1-, 2- and 3-year after radical resection were 64%（16/25）, 36%（9/25） and 12%（3/25） respectively. The cumulative survival rate sat the 1-, 2- and 3-year after palliative resection were 17.6%（3/17）, 5.8%（1/17） and 0 respectively. Conclusion Early diagnosis, corrected evaluation and reasonable surgical procedure can improve the curative effect of extrahepatic cholangiocarcinoma and decrease the rate of the operative complication and mortality.
出处
《中华普通外科学文献（电子版）》
2010年第1期42-44,共3页
Chinese Archives of General Surgery(Electronic Edition)
关键词
胆管肿瘤
诊断
治疗
Bile duct neoplasms
Diagnosis
Therapy
