摘要
目的 探讨肝门部胆管癌的诊断与治疗方法.方法 回顾性分析25例肝门部胆管癌手术患者的临床资料.结果 25例患者经CT、MRI、内镜(细胞刷、IDUS、SPYGLASS)等检查,诊断准确率100%.按Bismuth分型,Ⅰ型4例、Ⅱ型6例、Ⅲa型4例、Ⅲb型3例、Ⅳ型8例.所有患者均手术治疗,中位生存时间22.3个月.结论 内镜技术的进步明显提高肝门部胆管癌的诊断率.手术方式的改进明显提高肝门部胆管癌的根治性切除率.
Objective To investigate the diagnosis and treatment of hilar cholangiocarcinoma.Methods Data of 25 patients with hilar cholangiocarcinoma were retrospectively analyzed.Results The diagnostic accuracy of 25 patients was 100%after CT,MRI,endoscopy(cell brush,IDUS,SPYGLASS and other examinations).According to the Bismuth-Corlette classification,there were 4 cases of typeⅠ,6 cases of typeⅡ,4 cases of typeⅢa,3 cases of typeⅢb and 8 cases of typeⅣ.All patients were treated surgically with a median survival time of 22.3 months.Conclusions Advances in endoscopic techniques have significantly improved the diagnosis rate of hilar cholangiocarcinoma.The improvement of surgical methods has greatly improved the radical resection rate of hilar cholangiocarcinoma.
出处
《浙江临床医学》
2019年第1期18-19,共2页
Zhejiang Clinical Medical Journal
基金
浙江省嘉兴市科技计划项目(2015AY23013).
关键词
肝门部胆管癌
诊断
吻合术
肝门部外引流术
Hilar cholangiocarcinoma
Diagnosis
Anastomosis
External drainage of portal
