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目的 提高对肝门胆管癌采用合理切肝手术的认识。方法 回顾性总结我院 1988年以来的 94例肝门胆管癌切除手术病例资料 ,将其分为切肝组 (A组 ,35例 )和非切肝组 (B组 ,5 9例 ) ,对比两组的临床资料。结果 A组根治切除率为 6 8 6 %(2 4/35 ) ,B组为 35 .6 %(2 1/5 9) ;1、2、3和 5年生存率 :A组分别为 :84 19%,5 4 32 %,39 84%,2 5 35 %;B组为 49 5 0 %,2 0 42 %,9 72 %,3 2 4%。结论 肝门胆管癌采用合理的切肝手术 ,对提高生存率有显著影响。
Objective To improve the understanding of proper hepatectomy for hilar cholangiocarcinoma. Methods We retrospectively reviewed the data of 94 cases of hilar cholangiocarcinoma resection since 1988 in our hospital, and divided them into the cut liver group (A group, 35 cases) and non-cut liver group (B group, 59 cases). Two sets of clinical data. Results The radical resection rate in group A was 628% (24/35), 35.6% in group B (2 1/5 9); the survival rate at 1, 2, 3 and 5 years: group A was: 84 19%, 5 4 32%, 39 84%, 2 5 35%; B group, 49 50%, 2 0 42%, 9 72%, 3 2 4%. Conclusion The use of reasonable hepatectomy for hilar cholangiocarcinoma has a significant effect on improving survival.