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目的:探讨肝内胆管癌的临床特征及诊治方法。方法:回顾性分析38例肝内胆管癌患者的临床资料。结果:13例术前诊断为肝内胆管癌,诊断正确率34.2%;误诊为肝内胆管结石14例,肝细胞癌5例,肝内占位待查4例,肝囊肿2例,误诊率65.8%。手术切除30例,其中根治性切除22例,姑息性切除8例。结论:手术是治疗肝内胆管癌的主要手段,根治性切除可明显增加肝内胆管癌患者术后生存率。
Objective: To investigate the clinical features and diagnosis and treatment of intrahepatic cholangiocarcinoma. Methods: The clinical data of 38 patients with intrahepatic cholangiocarcinoma were retrospectively analyzed. Results: 13 cases of intrahepatic cholangiocarcinoma were diagnosed preoperatively, with a correct diagnosis rate of 34.2%; misdiagnosed as intrahepatic bile duct stones in 14 cases, hepatocellular carcinoma in 5 cases, intrahepatic liver space occupied in 4 cases and hepatic cyst in 2 cases, the misdiagnosis rate 65.8%. Surgical resection in 30 cases, of which 22 cases of radical resection, palliative resection in 8 cases. Conclusion: Surgery is the main treatment for intrahepatic cholangiocarcinoma. Radical resection can significantly increase the postoperative survival rate of intrahepatic cholangiocarcinoma patients.