肝胆管结石合并肝胆管癌的诊断与治疗(附45例报告)  

The dignosis and treatment of 45 cases patients with hepatocholangiocarcinoma acompanying hepatochlelithiasis.

作　　者：王友顺[1] 黄宗海[1] 姜宏[1] 

机构地区：[1]第一军医大学珠江医院普外科

出　　处：《中国实用外科杂志》1997年第9期544-545,共2页Chinese Journal of Practical Surgery

摘　　要：对１２年来收治的肝胆管结石合并肝胆管癌４５例进行分析，发现其伴发率为９．７％，术前确诊率为６．７％。高分化腺癌占７１．１％。肿瘤位于肝门部４０％，左肝外叶３３．３％。切除肿瘤１８例（４０％），平均生存３２．４个月，姑息性内引流１１例，平均生存１１．４个月；行胆道外引流１１例，平均生存５．３个月。The clinical and pathological data of the patients with hepatocholangiocarcinoma acompanying hepatocholelithiasis within 12 years were analysed.It was found that there was 9 7% acompanying rate between hepatochlelithiasis and hepatocholangiocarcinoma.There was only 6 7% correct dignosis rate of hepatocholangiocarcinoma in preoperation and its pathological types was 71 1% well differentiated adenocarcinoma;The most common occurrence sites of the tumors was at the liver porta,the second was at the left liver lobe;18 cases patients tumors was resected and its resect rate was 40%,its average survial was about 32 4 months;intrahepatic ductal enteric anastomoses had been taken in 11 cases patients,its average survival was about 11 4 months;extrobiliary drainage had been taken in 11 cases patients,its average survial was about 5 3 months.

关 键 词：胆结石 胆管肿瘤 并发症 诊断 治疗 

分 类 号：R657.420.6[医药卫生—外科学] R735.8[医药卫生—临床医学]