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目的:研究肝门部胆管癌的手术治疗方法及疗效。方法:2008年1月～2010年12月我院共对40例肝门部胆管癌患者进行手术治疗,观察并分析其疗效。结果:在该组病例中,选择手术切除术的患者30例,占75.0%;选择胆管内引流术的患者10例,占25.0%,行手术切除术的患者其生存中位时间及术后的生存率明显高于行内引流术的患者,手术切除组患者的临床疗效明显优于内引流组(P<0.05),差异具有统计学价值。结论:对肝门部胆管癌患者进行手术治疗具有极好的临床治疗效果,值得进一步推广及运用。
Objective: To study the surgical treatment of hilar cholangiocarcinoma and its curative effect. Methods: From January 2008 to December 2010, 40 cases of hilar cholangiocarcinoma were treated by surgery in our hospital. The curative effect was observed and analyzed. RESULTS: Thirty patients (75.0%) were selected for surgical resection in this group. Ten patients (25.0%) were selected for biliary drainage and the median survival time and postoperative The survival rate was significantly higher than the drainage of patients, surgical resection group was significantly better than the clinical efficacy of drainage group (P <0.05), the difference was statistically significant. Conclusion: Surgical treatment of patients with hilar cholangiocarcinoma has excellent clinical curative effect, which is worth further promotion and application.