肝外胆管癌95例临床诊治分析

The Clinical Study of 95 Cases of Extrohepatic cholangiocarcinoma

本文收集本院1984～1993年间所收治肝外胆管癌病人95例资料进行回顾性分析，认为术前B超、CT、PTC检查对大多数病例可做出诊断。尤其PTC诊断价值更大，纤维胆道镜应用于胆管瘤手术中有助于术式的选择，对于晚期胆管癌病人，姑息性手术对于延长生命有积极的作用。由于广州地区肝门部胆管癌与肝吸虫有密切关系，其特点是低分化癌多，在肝门部形成肿块大。因此，局部切除术（骨骼化切除）是治疗肝门部胆管癌的一种很好术式。

This article retrospectically analysed the clinicla data of 95 patients with extrohepahc bile duct carcinoma from 1984 to 1993.The diagnosis could be made preoperatively in mest as by B-us, CT and PTC examination, especially by PTC. Biliary fiberscope during operetion would be useful for the choice of surgical procedure. In the late stage of cancer, palliative operation, induding By-Pass operation , T-tube or U-tube drainage could play an effective role to prolong the survival rate of the patients In Guangzhou,there is a dose relation between cholangiocarcinoma and clonorchiasis. Because more patients suffer from poor differentiated cancinoma and form a large mass in hepatic hilus,local resection (skeletonization resection ) is a good choice.