论文部分内容阅读
目的 探讨先天性胆管囊肿癌变与原手术术式的关系。方法 对近 30年来收治的 2 1例先天性胆管囊肿癌变患者的资料进行回顾性分析。结果 本组先天性胆管囊肿总癌变率 14 8% ;原手术为囊肿内引流术者的癌变率显著高于囊肿切除术 (P <0 .0 0 1) ;囊肿内引流术后患者癌变年龄显著小于囊肿切除术 (P <0 .0 1)和未手术者 (P <0 .0 1) ;囊肿内引流术后发生癌变的年限显著短于囊肿切除术 (P <0 .0 1) ;囊肿内引流术后癌变者的发病年龄比未手术者早 15 4年。结论 囊肿内引流术能加速和促进癌变发生 ,应废用 ;囊肿切除术应列为首选术式 ;囊肿应尽可能切净 ,不能切净者应剥除内膜或破坏其粘膜。
Objective To investigate the relationship between the surgical treatment of congenital cholangiocarcinoma and surgical procedures. Methods The data of 21 patients with congenital cholangiocarcinoma who had been treated in the past 30 years were analyzed retrospectively. Results The total canceration rate of this group was 14.8%. The rate of carcinogenesis in patients with cyst drainage was significantly higher than that of cyst excision (P <0.01). The age of cancerous patients after drainage in cyst was significant Less than cyst excision (P <0.01) and no surgery (P <0.01). The duration of carcinogenesis after drainage in cyst was significantly shorter than cyst excision (P <0.01); cyst The age of onset of cancers after internal drainage was 15 4 years earlier than that of non-operative patients. Conclusion Cyst drainage can accelerate and promote carcinogenesis, should be used; cyst excision should be the preferred surgical; cyst should be as clean as possible, can not cut the net should be removed or destroyed the endometrium mucosa.