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目的 分析 71例高位胆管癌治疗方法和生存时间。方法 高位胆管癌切除者行高位胆肠Roux -en-Y吻合术 ,未切除者行胆汁内或外引流术并标记肿瘤部位且置管行术后腔内照射 ,未手术者行PTCD内或外引流并行腔内或体外照射。结果 共有 2 1例予以切除 ,15例切除后生存在 2 4个月以上 ,4例死于 15个月内。其余 5 0例生存 4～ 18个月。结论 高位胆管癌外科手术治疗是主要手段 ,腔内照射及肝动脉化疗栓塞 ,可预防或延迟局部复发及转移 ,延长病人生存时间
Objective To analyze the treatment methods and survival time of 71 cases of high-grade cholangiocarcinoma. Methods High cholangiocarcinoma patients underwent Roux-en-Y high cholangiojejunostomy. Unrescue patients underwent biliary or external drainage and marked the tumor site. The patients underwent intraluminal irradiation after PTCD. Drainage is performed in parallel or in vitro. Results A total of 21 cases were removed, 15 survived after 24 months, and 4 died within 15 months. The remaining 50 patients survived for 4 to 18 months. Conclusion Surgical treatment of high-grade cholangiocarcinoma is the main method. Endoluminal irradiation and transcatheter arterial chemoembolization can prevent or delay local recurrence and metastasis and prolong the survival time of patients.