肝门部胆管癌术前评估和手术切除率关系的探讨  

The Research of the Relationship Between the Resection Rate and Preoperative Evaluation Relating to Hilar Cholangiocarcinoma

作　　者：闫鹏展[1] 赵礼金[1] 顾进[1] 涂奎[1] 王芳[1] 

机构地区：[1]遵义医学院附属医院肝胆胰外科,贵州遵义563099

出　　处：《现代临床医学》2015年第6期431-433,共3页Journal of Modern Clinical Medicine

基　　金：TOLL样受体4在胆管纤维化形成中的作用及机制研究(编号81260085)

摘　　要：目的:探讨肝门部胆管癌(HC)术前评估和手术切除率的关系。方法:回顾性分析经手术治疗的41例肝门部胆管癌患者临床资料。结果:41例患者中,进行术前全面评估的患者归为评估组,有22例;未行术前评估的归为对照组,有19例。对照组根治性切除率为21.05%,评估组根治性切除率为54.55%。结论:进行肝门部胆管癌全面评估可明显提高手术切除率,特别是根治手术切除率,避免多数不必要的手术探查,从而明显改善患者治疗效果和生存质量。Objective：To discuss the relationship between the preoperative assessment and the operation resection rate relating to hilar cholangiocarcinoma （ HC） .Methods：Retrospective analysis of the surgical treatment of 41 cases of hepatic portal vein bile duct carcinoma in patients with clinical data .Results：In all of the cases ,22 cases was divided into evaluation group which accepted comprehensive preoperative evaluation , the rest cases was as control group which did not accepted comprehensive preoperative evaluation .In the control group the radical resection rate were 21.05%, while in the evaluation group the rates were 54.55%.Conclusion：The comprehensive assessment of HC improves the operation resection rate obviously , especially in term of radical operation resection rate , plus avoids many unnecessary operation searches , thereby improving evidently patients ’ therapeutic effects and life qualities .

关 键 词：肝门部胆管癌 切除率 评估 

分 类 号：R735.8[医药卫生—肿瘤]