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本文报告5例肝管癌,采用术前PTC及PTD,术中与术后放疗。3例肝胆管重新通畅,黄疸完全消退,粪黄色,获得较好的缓解期8—18月,其中1例于术后1 1/2年死于远处癌转移,其余2例情况良好在随访中。肝胆管梗阻改善不明显有2例,因而必须长期留置PTD引流管,仍有缓解症状及延长寿命的作用,1例于术后八个月死于左例肝胆管炎合并中毒休克,另1例带左右肝管PTD出院已生存9个月,情况尚可仍在观察中。我们认为原不能手术切除的肝管癌,若有条件,本治疗方法是可取的。
This article reports 5 cases of hepatic duct cancer, preoperative PTC and PTD, intraoperative and postoperative radiotherapy. 3 cases of hepatobiliary duct reopened, jaundice completely faded, fecal yellow, get a good remission period of 8 - 18 months, of which 1 died of distant metastasis in 1 1/2 years after surgery, the remaining 2 cases were in good condition at follow-up in. There are two cases of hepatobiliary obstruction is not obvious, so it must be long-term indwelling PTD drainage tube, still have the effect of relieving symptoms and prolonging life span. One case died of left hepatic cholangitis with poisonous shock at eight months after operation, and the other one case The PTD with left and right hepatic ducts has been discharged for 9 months and the situation is still under observation. We believe that this method of treatment is advisable if there is a condition that can not be surgically resected.