| 摘要: |
| ［摘要］ 目的 探讨肝细胞肝癌(HCC)伴胆管癌栓的诊断和治疗方法。方法 回顾性总结和分析10例肝细胞肝癌伴胆管癌栓的临床资料。 结果 6例行原发灶根治性切除术加胆管癌栓取出术，术后平均中位生存时间为2.5年；4例单纯行胆管切开取栓术，术后生存时间均<6个月。结论 原发灶根治性切除术加胆管癌栓取出术是治疗肝细胞肝癌伴胆管癌栓的有效方法，可延长患者生存时间。 |
| 关键词: 肝肿瘤 胆管癌栓 外科治疗 |
| DOI：10.3969/j.issn.1674-3806.2010.07.26 |
| 分类号:R 735.7 |
| 基金项目: |
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| Surgical treatment of 10 cases of hepatocellular carcinoma with bile duct tumor thrombus |
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LI Shi-Wen, XU Xu, FANG Fu-Yi
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Department of General Surgery,Qinzhou Second Pepole′s Hospital, Guangxi 535000,China
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| Abstract: |
| ［Abstract］ Objective To investigate the diagnosis and treatment of hepatocellular carcinoma (HCC) with bile duct tumor thrombus.Methods The clinical date of 10 cases of HCC with bile duct tumor thrombus were analyzed retrospectively.Results Six cases patients received primary tumor radical resection combined with bile duct tumor thrombus removal，their median survival time was 2.5 years；4 cases patients received simple bile duct tumor thrombus removal, heir median survival time was less than 6 months.Conclusion The primary tumor radical resection combined with bile duct tumor thrombus removal for the treatment of HCC with bile duct tumor thrombus was the effective ways to prolong survival time. |
| Key words: Hepatocellular carcinoma Bile duct tumor thrombus Surgical treatment |
