摘要
目的探讨原发性肝癌合并胆管癌栓的诊断方法和治疗方式的选择。方法通过回顾分析41例原发性肝癌合并胆管癌栓的诊断方法、误诊原因及综合治疗效果。结果 34例行手术切除肿瘤+胆管取癌栓,6例仅行胆管切开取癌栓。术后随访至今,其中肿瘤切除+胆管取癌栓患者平均生存时间超过2年,最长生存时间已超过10年,仅行胆管切开取癌栓平均生存时间18个月。结论对于肝癌合并胆管癌栓,早期诊断并积极选择合适的手术方式可以获得症状的缓解和长期的生存,甚至获得根治。
Objective To investigate the diagnosis of hepatocellular carcinoma（HCC） with biliary tumor thrombi and explore the best selection of itg treatment. Methods Retrospective study was performed in 41 patients underwent surgical treatment for HCC with biliry tumor thmmbi. The diagnosis , diagnostic errors and treatment effectiveness were analyzed. Results Hepatectomy with re- moval of biliary tumor thrombi was performed in 34 patients, the average survival time was over 2 years, one patient was survived over 10 years. In 6 patiens tumor thrombi extended beyond the hepatic confluence and was treated by thrombectomy through a choledochoto- my, with an average survival time of 18 months. Conclusion Early diagnosis and surgery after appropriate preoperative management of hepatocellular carcinoma with biliary tumor thrombi is effective in improving the life quality and prolonging lifespan, even yields radi- cal therapy effect.
出处
《肝胆外科杂志》
2012年第3期190-192,共3页
Journal of Hepatobiliary Surgery
关键词
原发性肝癌
胆管癌栓
Hepatocellular carcinoma
Bile duct tumor thrombi
