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目的探讨肝门部胆管癌的外科手术治疗的方法及其效果。方法对96例肝门部胆管癌患者外科手术治疗的方法及疗进行回顾性分析。根治性切除术33例,姑息性切除17例,内和外引流46例。结果手术病死率9.4%,各组间差异无统计意义。手术切除率52%,其中根治性切除率34%;根治性切除、姑息性切除、内引流和外引流组术后生存时间为30、17、13、2.9个月。结论根治性切除是肝门部胆管癌有效的治疗手段,对无法行根治性切除者以内引流为首选治疗方法,能提高患者术后生活质量,延长生存期。
Objective To investigate the surgical treatment of hilar cholangiocarcinoma and its effect. Methods 96 cases of hilar cholangiocarcinoma patients with surgical treatment methods and treatment were retrospectively analyzed. Radical resection in 33 cases, palliative resection in 17 cases, 46 cases of internal and external drainage. Results The operative mortality rate was 9.4%. There was no significant difference among the groups. Surgical resection rate was 52%, of which radical resection rate was 34%; radical resection, palliative resection, internal drainage and external drainage group survival time was 30,17,13,2.9 months. Conclusions Radical resection is an effective treatment for hilar cholangiocarcinoma. It is the first choice of treatment for those who can not undergo radical resection, which can improve postoperative quality of life and prolong survival.