胆囊癌致梗阻性黄疸21例诊治分析

Management of obstructive jaundice induced by gallbladder carcinoma

目的 :探讨胆囊癌致梗阻性黄疸的治疗方案。方法 :分析各种手术方式对预后的影响。结果 :手术后平均生存时间 :姑息性切除组 14.2个月 ,胆管空肠吻合组 9.4个月 ,T管或Y管架桥内引流组 8.6个月 ,T管或U管外引流组 7.2个月 ,单纯活检组 1.3个月。结论 :晚期胆囊癌致梗阻性黄疸以姑息性切除为首选 ,不能切除者以内引流为主 ,可延长生存时间 ,提高生活质量。

Objective: To explore the management of obstructive jaundice induced by gallbladder carcinoma.Methods: To analyze the effects of surgical therapy on the 21 patients.Result: The average survival time was 14.2 months in the group of palliative resection, 9.4 months in the group of bilioenteric anastomosis,8.6 months in the group of internal drainage of hepatic duct with T or Y tube,7.2 months in the group of external drainage of hepatic duct with T or U tube and 1.3 months in the group of simple biospy.Conclusion: The palliative resection is the best choice for the advanced gallbladder carcinoma. Internal drainage is the main choice in patients in which tumor resection could not be performed.