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目的探讨原发性肝癌合并胆管癌栓的外科治疗及其疗效。方法对浙江省台州市中心医院1995年1月至2007年10月收治的13例原发性肝癌合并胆管癌栓的治疗情况进行回顾性总结和分析。结果肝癌切除加胆管癌栓清除术10例,单纯胆管切开取栓术3例。7例获得随访,3例1年内死亡,3例存活1到4年,1例至今存活6年。结论原发性肝癌伴胆管癌栓行外科治疗是一种积极有效的治疗方法。
Objective To investigate the surgical treatment of primary hepatocellular carcinoma complicated with cholangiocarcinoma and its curative effect. Methods The clinical data of 13 cases of primary hepatocellular carcinoma with cholangiocarcinoma treated in Central Hospital of Taizhou, Zhejiang Province from January 1995 to October 2007 were retrospectively reviewed and analyzed. Results Hepatic cancer resection plus cholangiocarcinoma thrombectomy in 10 cases, simple choledotomy in 3 cases. Seven patients were followed up, three died within one year, three survived from one to four years and one survived six years. Conclusion Surgical treatment of primary hepatocellular carcinoma with cholangiocarcinoma suppository is a positive and effective treatment.