肝癌胆管内转移致阻塞性黄疸的外科治疗  

Surgical treatment of obstructive jaundice caused by hepatocellular carcinoma

作　　者：刘扬[1] 党霆 张柏和[1] 陈汉[1] 吴孟超[1] 

机构地区：[1]第二军医大学东方肝胆外科医院,上海200438 [2]西安铁路分局西安分院,西安710004

出　　处：《肝胆胰外科杂志》2002年第2期98-99,共2页Journal of Hepatopancreatobiliary Surgery

摘　　要：目的 :探讨外科手术治疗原发性肝癌胆管内转移致阻塞性黄疸的疗效。方法 :自 1994年 1月至1997年 10月间对 2 1例原发性肝癌胆管内转移致阻塞性黄疸的患者进行了外科手术治疗。其中行总胆管切开取癌栓者 19例 ,行肝动脉插管化疗者 4例 ,行肝动脉结扎者 10例 ,行肝叶切除者 2例。结果 :患者平均生存时间为 8.5个月 ,最长存活时间为 18个月。结论 :外科治疗明显改善了患者生活质量 ,提高了生存时间。Objective:To study the surgical effect of translated obstructive jaundice from biliary duct of primary hepatocellular carcinoma.Methods:Between Jan 1994 and Oct 1997,21 patients with obstuctive jaundice caused by hepatocellular carcinoma(HCC) underwent surgery in our hospital. Of them,19 patients had transcholedochal cancerous embolectomy plus T tube drainage of the biliary tract,4 patients had transcathetor arterial embolization(TAE),10 patients had hepatic arterial ligation(HAL),and 2 patients had hepatectomy.Results:The average life span was 8.5 months and the longest is 18 months.Conclusion:The results showed that surgical operation is effective in relieving symptoms and prolonging life span.

关 键 词：原发性肝癌 胆汁淤积 外科手术 治疗 

分 类 号：R735.7[医药卫生—肿瘤]