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肝外胆管癌早期缺乏特征性临床表现,术前正确诊断率低,一般就诊时也已晚期,故手术切除率低,预后差,为探讨晚期肝外胆管癌的手术方式选择,本文将我院1982年以来手术治疗的12例分析报告于下。1 临床资料1.1病例:12例中,男4例,女8例。年龄51～76岁。皆为腺癌。1.2临床表现:黄疸12例,乏力9例,消瘦8例,腹痛9例,皮肤瘙痒10例,发热4例,鼻衄5例,腹部肝肿块3例。SGPT833.5～1336.6nmol*s~(-1)/L10例,总胆红素29.6μmol/L,直接胆红素15.8μmol/L,AKP0.41～1.09μmol/L,AFP(胎甲球蛋白)阳性2例。 B超6例为胆囊炎、胆石症,4例为胆总管占位性病变,1例为胆总管下端癌,1例为胆囊炎、胆石症、胆总管癌待排。
The early extracranial extrahepatic cholangiocarcinoma lacks the characteristic clinical manifestations, the preoperative correct diagnosis rate is low, and the general consultation time is also late. Therefore, the surgical resection rate is low and the prognosis is poor. In order to explore the surgical methods of advanced extrahepatic cholangiocarcinoma, this article will our hospital Twelve cases of surgical treatment since 1982 have been reported below. 1 clinical data 1.1 cases: 12 cases, 4 males and 8 females. Age 51 to 76 years old. All are adenocarcinomas. 1.2 Clinical manifestations: 12 cases of jaundice, 9 cases of fatigue, 8 cases of weight loss, 9 cases of abdominal pain, 10 cases of pruritus, 4 cases of fever, 5 cases of epistaxis, and 3 cases of abdominal hepatic mass. SGPT833.5～1336.6 nmol*s-1/L10 cases, total bilirubin 29.6 μmol/L, direct bilirubin 15.8 μmol/L, AKP 0.41 to 1.09 μmol/L, AFP (fetoprotein ) Positive in 2 cases. 6 cases of B ultrasound were cholecystitis, cholelithiasis, 4 cases of common bile duct lesions, 1 case of common bile duct cancer, 1 case of cholecystitis, cholelithiasis, common bile duct cancer to be discharged.