肝内胆管细胞癌的诊治分析(附20例报告)

Diagnosis and Treatment of Intrahepatic Cholangiocarcinoma: A Report of 20 Cases

目的：探讨肝内胆管细胞癌的诊断学特点及鉴别诊断，讨论合理的手术方式。方法：回顾性分析自1990年至1995年经我院手术证实的20例肝内胆管细胞癌的临床资料。结果：CT检查19例，B超检查20例，均有不同程度肝内胆管扩张、肝内占位性病变。手术切除9例（45％），姑息性手术10例（55％），单纯剖腹探查1例。结论：CT、B超及肝功能检查相结合明显提高术前诊断率。合理的手术方式包括根治切除及适当的扩大切除。

Objective: To investigate the diagnosis, the differential diagnosis and surgically heatment of intrahepatic cholangiocarcinoma. Methods: Twenty cases of intrahepatic cholangiocarcinoma were confirmed by operation from 1990 to 1995. Results: CT and Ultrasonogaphy showed that enlargement of the intrahepatic bite ducts and occupation of a lesion in the liver. 9 cases were resected, with a resectability of 45%. of the 9 cases, the overall 1,3, 5 - year survival rates were 55. 6%, 11%,0% respectively. Palliative operation was performed in 10 cases. Exploratory laparotory in one case, The 11 unresected cases was with a 7. 5 months median survival period. Conclusion: The early detection rate may be raised by CT and ultrasonography. It is considered that the effective treatment of intrahepatic cholangiocarcinoma is radical resection. And extensive hemihepatectomy.