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目的分析老年肝门部胆管癌的诊断和治疗方法。方法回顾性研究2000年至2004年收治的32例肝门部胆管癌的临床资料。结果根治性切除组疗效优于非根治性切除组和单纯内引流组,非根治性切除组优于内引流组。结论术前正确评价可切除性、术中选择适宜的术式、合理的围手术期处理是提高疗效的关键。
Objective To analyze the diagnosis and treatment of elderly patients with hilar cholangiocarcinoma. Methods The clinical data of 32 cases of hilar cholangiocarcinoma admitted from 2000 to 2004 were retrospectively studied. Results The curative effect of radical resection group was better than that of non-radical resection group and simple internal drainage group. Non-radical resection group was better than internal drainage group. Conclusions The correct evaluation of resectability before surgery, intraoperative selection of appropriate surgical procedures and reasonable perioperative management is the key to improve the efficacy.