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3期肝门胆管癌疗效分析——附35例报告

Analysis on the Treatment of the 3rd Stage Hilarcancer:A Report of 35 Cases

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【作者】 严德辉蒋纯刘志陈辉

【Author】 YAN De-hui1,JIANG Shun2,LIU Zhi1,CHEN Hui1(1.Department of General Surgery,Affiliatel Hospital of North Sichuan Medical College;2.Affiliated Nanchong Central Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000)

【机构】 川北医学院附属医院普外科川北医学院附属南充市中心医院

【摘要】 目的:探讨3期肝门胆管癌病人的治疗方法和效果。方法:回顾分析2002年1月-2008年12月我科收治的35例3期肝门胆管癌病人的临床资料。结果:35例3期肝门胆管癌(Ⅳ型),其中15例仅行外引流,20例行内引流,其3、12、24、36个月的生存率分别是90%、40%、9%、0%,95%、60%、20%、5%,内引流组生存率高于外引流组(χ2=7.45,p<0.05)。结论:内引流,尤其是"T"管长臂留于肠攀内,对3期肝门胆管癌病人生存率的提高大有益处。

【Abstract】 Objective:To evaluate the therapeutic methods for the 3rd stage hilar cancer.Methods:The clinical dates of 35 patients with the 3rd stage hilar cancer from Jan 2002 to Dec 2008 were retrospectively analyzed.Results:15 patients underwent external drainage,25 patients underwent internal drainage,The 3,12-,24-,and 36-months survival rates of external drainage group and internal drainage group were 90%,40%,9%,0%;95%,60%,20%,5%,respectively.The survival rate of internal drainage group is higher than that of external drainage group(x2=7.45,p<0.05).Conclusions:Survival rates in patients with internal drainage were better than those of external drainage.The internal drainage is effective in relieving symptoms and prolonging lifespan.

【关键词】 肝门胆管癌疗效
【Key words】 Hilar cholangiocarcinomaSurgical treatment
【基金】 四川省教育厅项目(2009JY0121)
  • 【文献出处】 川北医学院学报 ,Journal of North Sichuan Medical College , 编辑部邮箱 ,2011年03期
  • 【分类号】R735.8
  • 【被引频次】2
  • 【下载频次】35
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