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探讨肝外胆管癌的诊断与治疗。方法:男58例,女14例,共72例,平均年龄58.3岁。上段占75％,中段11.1％,下段13.86％。本组病人均依靠临床表现及B超检查做出初步诊断,术中B超扫查明确肿瘤部位、范围、门脉通畅情况以指导手术。结果与结论:本组总切除率45.83％,其中上段为33.33％,中段62.5％,下段为100％。对不能切除者行胆肠内、外引流术,以改善病人生存质量,延长生存时间。
To investigate the diagnosis and treatment of extrahepatic cholangiocarcinoma. Methods: 58 males and 14 females, a total of 72 cases, the average age of 58.3 years. The upper segment accounts for 75%, the middle segment 11.1%, and the lower segment 13.86%. This group of patients all rely on clinical manifestations and B-ultrasound to make a preliminary diagnosis. The intraoperative B-scans clearly define the tumor site, range, and portal patency to guide surgery. RESULTS AND CONCLUSION: The total resection rate was 45.83% in this group, with 33.33% in the upper segment, 62.5% in the middle segment, and 100% in the lower segment. For non-resectable patients, internal and external biliary drainage is performed to improve the patient’s quality of life and prolong survival.