原发性肝癌并阻塞性黄疸的外科治疗

Surgical treatment of primary liver cancer with obstructive jaundice.

目的 总结原发性肝癌并阻塞性黄疸的临床特征、原因、治疗方法及疗效。方法 4例病人术前应用B超、CT、PTC等影像学检查均明确诊断,除1例为肿瘤压迫外,其余3例均为肿瘤侵入胆管引起黄疸。采用肝癌切除取尽癌栓,解除胆管梗阻的方法,术后行HAE等治疗。结果 4例均得到随访,平均生存时间为8.5个月。结论 对肝癌并阻塞性黄疸者应及时诊断,尽早切除肿瘤、清除癌栓、解除胆管梗阻是一种积极有效的治疗方法。

Objective:To summarize the methods of diagnosis and treatment for primary liver cancer (PLC) with obstructive jaundice were diagnosised with the help of B-us, CT, and/or PTC examination. Hepatectomy and choledochotomy were performed by resecting the primary tumor and clearing away the tumor thrombus com-pletely. HAE was performed after operation. Results: All cases were followed up and the mean survival time were 8.5 months. Conclosion; Accurate diagnosis, redical hepatectomy with extraction of the tumor thrombus in bile duct was effective methods in treating PLC with obstructive jaundice.