实用老年医学

实用老年医学 ›› 2011, Vol. 25 ›› Issue (1): 71-.

• 论著 • 上一篇    下一篇

胆管癌栓致阻塞性黄疸9例外科治疗分析

  

  1. 210018江苏省南京市，南京市市级机关医院外科（韩箭）；210009江苏省南京市，东南大学附属中大医院普外科（周家华）
  • 出版日期:2011-02-20 发布日期:2011-03-16

  • Online:2011-02-20 Published:2011-03-16

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被引次数

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摘要：

目的探讨胆管癌栓致阻塞性黄疸外科治疗情况及治疗效果。方法对1990年2月至2002年8月间收治的9例原发性肝癌及胆管癌合并胆管癌栓患者的外科治疗情况进行回顾性分析和总结。结果4例行原发肿瘤及胆管癌栓根治切除术；5例行姑息性胆管癌栓清除术加T管引流术。5例患者经胆管切开癌栓清除术后黄疸症状及体征缓解1～4月，平均生存期4～6月；4例患者经左肝叶切除术或胆管癌根治术后1.5～2年内复发或远处转移。结论胆管癌栓致阻塞性黄疸并非手术治疗的禁忌，施行外科手术解决梗阻可能是一种积极的治疗方法。

Abstract:

Analysis on surgical treatment of obstructive jaundice caused by cancer thrombi in the bile duct in 9 casesHAN Jian.Department of Surgery，Nanjing Government Hospital， Nanjing  210018,China； ZHOU Jia-hua. Departmetn of General Surgery, Affiliated Zhongda Hospital to Southeast University, Nanjing 210009, China
【Ａｂｓｔｒａｃｔ】　Ｏｂｊｅｃｔｉｖｅ To evaluate surgical therapy and the effect of obstructive jaundice caused by cancer thrombi in the bile duct．ＭｅｔｈｏｄｓFrom 1990 to 2002， 9 patients with  hepatocellular carcinoma or bile duct carcinoma and bile duct thrombi(BDT) who underwent surgical intervention were retrospectively analyzed．ＲｅｓｕｌｔｓAmong all the patients，four primary tumors and cholangio carcinoma bolt radical resection，5 regular palliative cholangio carcinoma bolt removal and T-tube drainage．5 patients via bile duct cut tumor emboli clear signs and symptoms and alleviate postoperative jaundice，1-4 months，the average survival time were 4-6 months，4 patients after left lobe or cholangio carcinoma eradicative resection of 1.5-2 years recurrence or distant metastasis．ＣｏｎｃｌｕｓｉｏｎｓJaundice caused by cancer thrombi in the bile duct was not the operation contraindication，surgical intervention could be an effective way of treatment．
【Key　ｗｏｒｄｓ】carcinoma； bile duct thrombi； obstructive jaundice