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目的 :讨论肝门胆管癌诊断治疗的经验。方法 :共治疗肝门胆管癌 2 7例 ,其中 2 0例行经皮肝胆管穿刺造影检查明确诊断 ,2 2例手术治疗 ,12例后装放疗。结果 :死亡 15例均死于肝衰。结论 :本组肝门胆管癌都属晚期 ,预后恶劣 ,如能及早诊断 ,则切除率会有所提高 ;对不能切除的晚期病例可施行胆肠吻合或扩张狭窄的癌性胆管后置管引流 ,术后经此管辅以后装放疗 ,亦可使肝门胆管癌得到较好的姑息性治疗
Objective: To discuss the diagnosis and treatment of hilar cholangiocarcinoma. Methods: Totally 27 cases of hilar cholangiocarcinoma were treated, of which 20 cases were confirmed by percutaneous transhepatic cholangiography, 22 cases were treated by surgery and 12 cases were treated by radiotherapy. Results: All 15 died of liver failure. Conclusion: This group of patients with hilar cholangiocarcinoma are advanced, the prognosis is poor, if early diagnosis, the resection rate will be improved; for unresectable cases of advanced cases of cholangiobiliary anastomosis or dilatation of the narrow bile duct cancer drainage after drainage , After this tube supplemented by radiotherapy, can also make hilar cholangiocarcinoma get better palliative treatment