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近15年来,在胆管癌病人的处理方法上取得了明显进展。本文分析了UCLA医学中心近10年治疗的肝外胆管癌90例(组Ⅱ)并与1954～1978年该中心收治的96例(组Ⅰ)做了对比。两组共186例,后10年病例数与前25年相近,发病率明显增高。年龄平均62岁(25～85岁),男性104例,女性82例,手术或PTD治疗185例,术后随访166例(89%)。 107例(58%)肿瘤位于胆管上1/3,包括左右肝管分叉处;32例(17%)位于中1/3,即从胆囊管一总
In the past 15 years, significant progress has been made in the treatment of cholangiocarcinoma patients. This article analyzed 90 cases (group II) of extrahepatic cholangiocarcinoma treated by UCLA Medical Center in the past 10 years and compared it with 96 cases (group I) admitted to this center from 1954 to 1978. There were 186 cases in the two groups. The number of cases in the last 10 years was similar to that in the previous 25 years. The incidence rate was significantly higher. The average age was 62 years old (25-85 years old), 104 males, 82 females, 185 cases with surgery or PTD, followed by 166 cases (89%). In 107 cases (58%), the tumor was located in 1/3 of the bile duct, including the bifurcation of the left and right hepatic ducts; 32 cases (17%) were located in the middle 1/3, ie a total from the cystic duct.