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对12年来收治的肝胆管结石合并肝胆管癌45例进行分析,发现其伴发率为9.7%,术前确诊率为6.7%。高分化腺癌占71.1%。肿瘤位于肝门部40%,左肝外叶33.3%。切除肿瘤18例(40%),平均生存32.4个月,姑息性内引流11例,平均生存11.4个月;行胆道外引流11例,平均生存5.3个月。
Analysis of 45 patients with hepatolithiasis complicated with hepatobiliary carcinoma treated in 12 years showed that the associated rate was 9.7%, and the preoperative diagnosis rate was 6.7%. Well-differentiated adenocarcinoma accounted for 71.1%. The tumor was located at 40% in the hilar and 33.3% in the left lateral lobe. Eighteen patients (40%) underwent tumor resection and the average survival time was 32.4 months. Palliative internal drainage was performed in 11 cases with an average survival of 11.4 months. External biliary drainage was performed in 11 cases with an average survival of 5.3 months.