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目的探讨肝门部胆管癌有效的治疗方法。方法回顾性分析中国人民解放军空军总医院1995年1月至2005年4月收治的55例肝门部胆管癌病人的临床资料。结果共有37例(37/55)行胆管癌切除,21例切除后存活24个月以上,4例死于15个月内,其余存活4~18个月,未切除者行胆道内或外引流术也可以进行放射治疗,未手术者行内或外引流。结论外科手术是肝门部胆管癌的主要治疗手段,内外引流手术可以延长病人的存活时间。
Objective To investigate the effective treatment of hilar cholangiocarcinoma. Methods The clinical data of 55 patients with hilar cholangiocarcinoma admitted from January 1995 to April 2005 in PLA General Hospital of PLA General Hospital were retrospectively analyzed. Results A total of 37 cases (37/55) underwent cholangiocarcinoma resection, 21 cases survived more than 24 months after resection, 4 died within 15 months and the remaining 4 to 18 months. The patients underwent resection of biliary duct or external drainage Surgery can also be carried out radiotherapy, no surgery inside or outside drainage. Conclusion Surgery is the main treatment for hilar cholangiocarcinoma. Internal and external drainage can prolong the survival time of patients.