肝内胆管结石合并肝胆管癌30例诊治分析  

Analysis of the diagnosis and treatment of 30 hepatolithiasis associated with cholangiocarcinoma

作　　者：沈先锋[1] 梅小溪[1] 胡军[1] 菅志远[1] 兰明银[1] 

机构地区：[1]湖北医药学院附属太和医院普外一科,十堰442000

出　　处：《肝胆外科杂志》2013年第1期31-33,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨肝内胆管结石合并肝胆管癌的诊断及治疗。方法 2007年1月～2012年1月收治的30例肝内胆管结石合并肝胆管癌的临床资料进行回顾性分析。结果 30例肝胆管癌占同期肝内胆管结石病人的5.5%,术前诊断率为66.7%(20/30)。30例均经手术治疗,根治性手术10例,术后平均生存25个月。姑息性手术20例,术后平均生存14个月。结论该病的早期诊断和根治性切除率低,预后差。肝切除术治疗肝内胆管结石可明显减少肝胆管癌的发生。Objective To study the diagnosis and treatment of hepatolithiasis associated with cholangiocarcinoma. Methods From January 2007 to January 2012,30 cases with hepatolithiasis associated with cholangiocarcinoma were analyzed retrospectively. Resuits Cholangiocarcinoma occurred in 5.5% of patients with hepatolithiasis, with diagnosis established preoperatively in 20 （66. 7% ） patients o 30 cases underwere operative treatment, Radical resection were 10 cases, and postoperative average survival time （PAST） was 25 months. Palliative operations were 20 cases and PAST was 14 months. Conclusion the prognosis is still poor because of the difficulty to achieve early diagnosis and radiealresection. Hepatectomy in the treatment of hepatolithiasis can reduced the occur- rence of cholangiocarcinoma significantly.

关 键 词：肝胆管癌 肝内胆管结石 

分 类 号：R735.7[医药卫生—肿瘤]