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本文报导50例肝外胆管癌的诊断与治疗。对其临床特点作了总。该病在黄疸未出现前主要表现为右上腹痛和消化道症状,即食欲下降、胃纳不佳、厌油恶心和上腹胀满。黄胆一出现便持续不消,肝功能突出特点是黄胆程度与肝功损伤呈分离现象,即黄疸虽重而肝功损伤性改变多不明显若肿瘤局限而无明显转移征象者可施根治性切除术,否则要争取采用姑息性内引流术,尤其对下段肝外胆管癌其疗效并不劣于Whipple′s手术。
This article reports the diagnosis and treatment of 50 cases of extrahepatic cholangiocarcinoma. Its clinical features were made total. The disease mainly manifested as right upper abdominal pain and gastrointestinal symptoms before the occurrence of jaundice, ie, decreased appetite, poor appetite, nausea, and fullness in the upper abdomen. Once the yellow gallbladder appears, it persists. The prominent feature of liver function is the separation of the degree of yellow gallbladder and liver function damage, that is, although the weight of the yellow jaundice is heavy and the liver power damage is not obvious, if the tumor is limited and there is no obvious metastasis, the radical treatment can be applied. Resection, otherwise palliative internal drainage should be pursued, especially for the treatment of extrahepatic bile duct carcinoma, which is not inferior to Whipple’s surgery.