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目的分析55例高位胆管癌手术治疗方法和生存时间。方法回顾分析空军总医院1995年1月至2005年4月收治的55例高位肝门部胆管癌病人的临床资料。结果共有37例(37/55)行胆管癌切除,21例切除后生存24个月以上,4例死于15个月内,其余生存4~18个月,未切除者行胆汁内或外引流术并进行放射治疗,未接受手术者行经皮内或外引流。结论高位胆管癌外科手术治疗是主要手段,内外引流手术可以延长病人的生存时间。
Objective To analyze 55 cases of high cholangiocarcinoma surgical treatment and survival time. Methods The clinical data of 55 patients with hilar cholangiocarcinoma admitted to the Air Force General Hospital from January 1995 to April 2005 were retrospectively analyzed. Results A total of 37 cases (37/55) underwent cholangiocarcinoma resection, 21 cases survived more than 24 months after resection, 4 died within 15 months and the remaining 4 to 18 months. Surgery and radiotherapy, did not accept surgery by intradermal or external drainage. Conclusion High cholangiocarcinoma surgical treatment is the main means of internal and external drainage can extend the patient’s survival time.