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目的 高位胆管癌 5 6例分析其治疗和生存时间。方法 5 6例高位胆管癌的病人 ,年龄为 2 5～ 74岁 (平均为 6 7.6 7岁 ) ,手术方法是将肝内胆管癌和肝方叶及肝外胆管癌切除 ,不能切除者给予肝内胆管和空肠 Roux- Y式吻合。结果 共有 17例予以切除 ,13例切除后生存 36个月以上 ,6例死于 1.5个月 ,其它 33例未经手术切除者 ,大概生存在 36个月以内。结论 外科手术主要为治疗高位胆管癌 ,并应早期诊断和治疗。
Objective To analyze the treatment and survival of 56 cases of high cholangiocarcinoma. Methods Fifty-six patients with high cholangiocarcinoma, aged 25-54 years (mean, 7.66 years), were treated by resection of intrahepatic cholangiocarcinoma and hepatic squamous cell carcinoma and extrahepatic cholangiocarcinoma, and those who were unresectable were given hepatic Roux-Y anastomosis of the jejunum and jejunum. Results A total of 17 cases were resected. Thirteen patients survived for more than 36 months after resection, six died in 1.5 months, and the other 33 patients survived within 36 months without surgery. Conclusion Surgical operation is mainly for the treatment of high cholangiocarcinoma, and should be diagnosed and treated early.