以阻塞性黄疸为首发症状的肝癌的手术治疗

The operation on hepatocellular carcinoma with obstructive jaundice as primary symptom

目的 探讨以阻塞性黄疸为首发症状的肝癌病人的临床特征及治疗方法。方法 收集原发性肝癌侵犯胆管病人 39例 ,对其临床特征及诊断、治疗方法进行了分析。结果 此类患者占肝癌病人的比例为 6 .3 % ,全部病人均进行了手术治疗。B型超声及CT检查的阳性率分别为88.2 %和 80 .0 % ,合并门静脉癌栓者为 48.7%。结论 本病的主要诊断依据为影像学检查结果 ;

Objective To study the clinical features and treatment on hepatocellular carcinoma(HCC) with obstructive jaundice as primary symptom. Method We collected 39 cases of patients of HCC with obstructive jaundice as primary symptom in our hospital,the clinical features and treatments were studyed.Results The incidence of such patients was 6.3% in all HCC patients and all patients were operaed;the positive diagnostic rate of B ultrasonud and T was 88.2% and 80% respectively ,it was 48.7% in cases with intraportal thrombi.Conclutions Preperative correct diagnosis depends on image test,hepatectomy with biliary duct drainage is the mainstay for treatment .