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目的探讨肝门部胆管癌的ＴＶＭ分期与治疗方式。方法肝门部胆管癌３８例，依据肿瘤对胆管肝门部血管侵犯程度及转移情况，试行ＴＶＭ分期；根据ＴＶＭ分期进行手术方式选择并对３种术式进行比较。结果依ＴＶＭ分期将肝门部胆管癌分为Ⅰ、Ⅱ、Ⅲ、Ⅳ期，其中Ⅰ、Ⅱ期以根治性切除为首选，Ⅲ期依不同情况选择根治性或姑息性切除，Ⅳ期则以胆道转流为首选。结论通过对肝门部胆管癌ＴＶＭ分期的探讨，能较好反映本病的病程与治疗方式之间的关系
Objective To explore the TVM staging and treatment of hilar cholangiocarcinoma. Methods 38 patients with hilar cholangiocarcinoma were enrolled in this study. According to the degree of tumor invasion and metastasis of hilar bile duct vasculature, TVM staging was performed on trial basis; surgical methods were selected according to TVM staging and three surgical procedures were compared. Results Hilar cholangiocarcinoma was divided into stages I, II, III, and IV according to TVM stage. Radical resection was the first choice in stages I and II, and radical or palliative resection was selected according to different conditions in stage III. Biliary bypass is preferred. Conclusion Through the discussion of TVM staging of hilar cholangiocarcinoma, it can better reflect the relationship between the course of the disease and the treatment.