高位胆管癌49例临床分析

Clinical analysis of 49 cases with proximal bile duct cancer

目的:探讨高位胆管癌的手术方式及其临床意义。方法:对49例高位胆管癌患者的临床资料进行了回顾性分析。49例高位胆管癌,其中行根治性手术16例,姑息性手术33例。结果:根治性手术切除率32.9%。手术切除者生存8～38个月,姑息手术者生存3～11个月。无手术死亡及严重并发症。结论:高位胆管癌的手术疗效与早期诊断及术式密切相关,改进手术技术,提高手术切除率,对改善疗效有重要意义。

Objective: To study the way of operation and it′s clinical meaning of the upper cholangical cancer. Methods: To analyze forty-nine patient′s clinical material, who were underwent operation. In these patients, sixteen were underwent radical excision, and thirty-three palliative operation were done. Results: The rate of radical excision was 32.9%. The patient′s survival rate was from 8 months to 38 months, for whom radical excision were done, and the patient′s survival rate was from 3 to 11 months, who were done with palliative operation . There was no death and severe complications during operation. Conclusions: The operation result of proximal bile duct cancer is relative with its early diagnosis and the way of the operation. It is significant for its result of treatment that the improving of the operation technique and the rate of the operative resection.