原发性肝癌伴胆道癌栓的诊断与治疗  

Diagnosis and Treatment of Primary Hepatoceiiular Carcinoma with Tumor Thrombus in the Bile Duct

作　　者：黄燕金[1] 叶观瑞[1] 车斯尧[1] 

机构地区：[1]广东省高州市人民医院肝胆科,广东高州525200

出　　处：《中国现代医生》2008年第21期49-50,共2页China Modern Doctor

摘　　要：目的总结原发性肝癌伴胆道癌栓的诊断与治疗方法。方法回顾性分析20例患者临床资料。所有病例均接受外科手术治疗,其中原发肿瘤切除+胆道癌栓清除+T管引流16例,单纯癌栓清除+T管引流+胆管置管内支架引流4例。术后TACE18例。所有病例均予化疗药物T管滴注。结果手术切除率为80%,10例1年内死亡,7例2年内死亡,3例3年内死亡。结论原发性肝癌伴胆道癌栓患者积极的外科手术治疗,解除胆道梗阻,术后辅以区域性化疗,是提高疗效、延长患者生存期的必要措施。Objective To summarize the methods of diagnosis and treatment for primary hepatocellular carcinma（PHC） with tumor thrombus in the bile（TTBD）. Methods The clinic data in 20 cases of PHC with TI＇BD were analyzed retrospectively,accomplished surgical treatment in all patients. 16 cases underwent primary tumor resection and CEBT elimination and T-tube drainage,simple elimination of canaer embolus and T-tube drainage and drainage inside bile duct. TACE in 18 cases. Chemoth-rapeutic drug T-tube drip in all patients. Results Resecting rate by operation was 80%, 10 cases were postperatively dead in one year. 7 cases in two years,3 cases in three years. Conclusion For patients with PHC combined CEBT,it is necessary measures about improving therapeutic effect and prolonging survival phase of the patients, postitive operative treatment, to relieve the duct obstruction and chemotherpy postoperatively.

关 键 词：癌 肝细胞 胆道 栓子 诊断 外科治疗 

分 类 号：R735.7[医药卫生—肿瘤]