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目的 探讨胆管囊肿癌变的诊断、治疗、预防。方法 总结两家医院 1986年至 1997年11例胆管囊肿癌变的临床病理资料 ,对比手术方式和生存期。结果 胆管囊肿切除 ,胆管空肠吻合术 4例 ,胆管探查 ,T管引流术 2例。肿瘤及胆管囊壁切除胆管成形、胆总管十二指肠吻合、活检、胰头十二指肠切除并肝门部胆管空肠吻合术、切除原胆肠吻合口各一例。 1例根治性切除者至今已存活 3 .6年 ,其余中位生存时间 13 .6个月。结论 用影像学等检查早期发现本病 ,及早根治性治疗是提高本病生存率及改善生活质量的关键 ,早期切除胆管囊肿可以减少胆管囊肿癌变的发生
Objective To investigate the diagnosis, treatment and prevention of cholangiocarcinoma. Methods The clinicopathological data of 11 cases of cholangiocarcinoma canceration from 1986 to 1997 in two hospitals were summarized, and the operative methods and survival period were compared. Results biliary cyst excision, bile duct jejunostomy in 4 cases, bile duct exploration, T tube drainage in 2 cases. Tumor and bile duct wall resection of bile duct formation, common bile duct duodenal anastomosis, biopsy, pancreaticoduodenectomy and hilar cholangiojejunostomy, resection of the original one of the cases of biliary and anastomotic. One case of radical resection has survived 3.6 years and the remaining median survival time has been 13.6 months. Conclusion Early detection of this disease with imaging and early radical treatment is to improve the survival rate and improve the quality of the key to the disease, early removal of biliary cysts can reduce the occurrence of cholangiocarcinoma