肝胆管结石合并肝胆管癌32例治疗体会

Clinical Curative Taste about32 cases of Hepatolithiass with Cholangiocarcinoma

目的探讨肝胆管结石合并肝胆管癌的临床特征和诊治方法。方法对32例肝胆管结石合并肝胆管癌临床资料进行回顾性分析。结果本组肝胆管结石合并胆管癌的术前确诊率为31.4%(11/32);术中冷冻切片病理检查确诊13例,术后病理检查确诊8例。其中左肝胆管癌62.5%(20/32),右肝胆管癌12.5%(4/32),肝门部胆管癌25.0%(8/32)。肿瘤根治性切除率为31.3%(10/32),姑息性手术68.7%(22/32)。结论必须提高对本病的认识,对长期胆石症患者,症状反复者应进一步检查,及时手术及术中详细探查是早期发现和治疗胆管癌的重要途径。

To explore the clinical features,diagnosis and treatment of hepatolithiasis with cho-langio- carcinoma.Methods Clinical and pathological data of 32 cases having the hepatolithiasis with cholangiocarcinoma were ana- lysed retrospectively Results In the 32cases,diagnosis rate of preoperation was 31.4%(11/32),13 cases of them were diagnosed by pathologic examination in operation,8 cases of them were diagnosed through pathologic examination after opera- tion.The tumor occuring rote of left intrahepatic ducts、right intrahepatic ducts and hilarbile duct were 62.5%、12.5% and 25% respectively.Conclusion It is important to find and treat cholangiocarcinoma earlier by paying great attention and exploration carefully in operation for patients with a long history of hepatolithiasis.