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目的:分析近年来肝外胆管癌病因及临床特点,并进行诊断及外科治疗的探讨。方法:收集92年及97年间42例临床资料。结果:全部经手术探查。胆道良性疾患手术的术中漏诊率19%,术前确诊率833%,总切除率548%。结论:应联合应用多种检查以获得早期诊断,对确诊者力争根治性切除,无法切除者根据具体情况采用合适的手术方法。
Objective: To analyze the etiology and clinical features of extrahepatic bile duct carcinoma in recent years, and to discuss the diagnosis and surgical treatment. Methods: 42 cases of clinical data were collected between 1992 and 1997. Results: All were explored by surgery. The intraoperative missed rate of benign biliary tract surgery was 19%, the preoperative diagnosis rate was 833%, and the total resection rate was 548%. Conclusion: A variety of examinations should be combined to obtain early diagnosis, and those who are diagnosed should strive for radical resection. Those who are not able to resection should use appropriate surgical methods according to specific conditions.