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目的 探讨原发性肝癌伴胆道癌栓的临床特点、病理改变、诊治方法和改善预后的途径。方法 分析 16例病例的一般资料、临床表现、影像学和病理检查。结果 无术后死亡 ,原发病灶未切除 ,仅做T管引流 2例 ,术后生存时间为 2 5～ 4 5个月 ,14例原发病灶切除者 ,术后生存 1～ 4 5年。结论 原发性肝癌伴胆道癌栓患者 ,积极手术治疗和综合治疗是提高生活质量和改善预后的有效方法
Objective To investigate the clinical characteristics, pathological changes, diagnosis and treatment of primary hepatocellular carcinoma with cholangiocarcinoma and the ways to improve the prognosis. Methods The general data, clinical manifestations, imaging and pathology of 16 cases were analyzed. Results No postoperative death, the primary lesion was not removed, only T tube drainage in 2 cases, postoperative survival time was 25 ~ 45 months, 14 cases of primary lesion resection, postoperative survival of 1 ~ 45 years. Conclusions Active surgical treatment and comprehensive treatment of primary hepatocellular carcinoma with cholangiocarcinoma suppository are effective methods to improve the quality of life and improve the prognosis