高位胆管癌56例临床分析

CLINICAL ANALYSIS FOR 56 CASES WITH HIGH CHOLANGIO CARCINOMA

目的 高位胆管癌 5 6例分析其治疗和生存时间。方法 5 6例高位胆管癌的病人 ,年龄为 2 5～ 74岁 (平均为 6 7.6 7岁 ) ,手术方法是将肝内胆管癌和肝方叶及肝外胆管癌切除 ,不能切除者给予肝内胆管和空肠 Roux- Y式吻合。结果 共有 17例予以切除 ,13例切除后生存 36个月以上 ,6例死于 1.5个月 ,其它 33例未经手术切除者 ,大概生存在 36个月以内。结论 外科手术主要为治疗高位胆管癌 ,并应早期诊断和治疗。

objective To study the therapy and the survival time of high cholangiocarcinoma in 56 case.Methods 56 patients were 25～74 years(mean67.67).They were all treated by operation .The interheptic cholongicarcinoma,the square lobe of liver and outer bile ductales carcinoma were resection.The others who could not experience resection were treated by interhepic bile ductale-jejumem Roux-en-Y anastomosis.Results 17 cases(17/56)were treated by surgical resection.13 cases (13/17)survival more than 36 months.6 cases(5/56) died of operative mortality within 1.5 months.33cases(33/56) who could not experienced surgical resection were perform drainage died of within 36 months.Conclusion Surgical resection was the main method for the treatment of upper bile ductales carcinoma,and the early diagnosis and treatment should be performed.