肝细胞肝癌伴胆管癌栓的外科处理10例分析  

Surgical treatment of 10 cases of hepatocellular carcinoma with bile duct tumor thrombus

作　　者：利仕文[1] 徐旭[1] 方富义[1] 

机构地区：[1]钦州市第二人民医院普通外科,广西535000

出　　处：《中国临床新医学》2010年第7期665-667,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨肝细胞肝癌(HCC)伴胆管癌栓的诊断和治疗方法。方法回顾性总结和分析10例肝细胞肝癌伴胆管癌栓的临床资料。结果 6例行原发灶根治性切除术加胆管癌栓取出术,术后平均中位生存时间为2.5年;4例单纯行胆管切开取栓术,术后生存时间均<6个月。结论原发灶根治性切除术加胆管癌栓取出术是治疗肝细胞肝癌伴胆管癌栓的有效方法,可延长患者生存时间。Objective To investigate the diagnosis and treatment of hepatoceUular carcinoma （HCC） with bile duct tumor thrombus. Methods The clinical date of 10 cases of HCC with bile duct tumor thrombus were analyzed retrospectively. Results Six cases patients received primary tumor radical resection combined with bile duct tumor thrombus removal,their median survival time was 2. 5 years;4 cases patients received simple bile duct tumor thrombus removal, heir median survival time was less than 6 months. Conclusion The primary tumor radical resection combined with bile duct tumor thrombus removal for the treatment of HCC with bile duct tumor thrombus was the effective ways to prolong survival time.

关 键 词：肝肿瘤 胆管癌栓 外科治疗 

分 类 号：R735.7[医药卫生—肿瘤]