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胆道恶性肿瘤是目前胆道外科的棘手问题,近年来发病率有增加趋势,且病因不明,早期诊断困难,手术复杂,切除率低,预后差,正逐渐受到人们的重视。我院自1978～1995年共收治81例,其中肝外胆管癌48例,胆囊癌33例,现分析如下。 1 临床资料 1.1 一般资料:本组81例中,男45例,女36例,男女之比1.25∶1。发病年龄25～86岁,平均57.4岁,其中60岁以上45例。 1.2 临床表现:黄疸65例,右上腹不适或隐痛36例,右上腹绞痛15例,明显消瘦23例,白陶土样便32例,发热9例,肝脏肿大11例,右上腹包块6例,腹水13例。
Biliary tract malignancy is a thorny problem in current biliary surgery. In recent years, the incidence rate has increased, and the cause is unknown. Early diagnosis is difficult, surgery is complicated, the resection rate is low, and the prognosis is poor. People are paying more attention to it. Our hospital has treated 81 cases from 1978 to 1995, including 48 cases of extrahepatic cholangiocarcinoma and 33 cases of gallbladder cancer. The analysis is as follows. 1 clinical data 1.1 General Information: In this group of 81 cases, 45 males and 36 females, male to female ratio of 1.25:1. The age of onset was 25 to 86 years, with an average of 57.4 years, of which 45 cases were over 60 years old. 1.2 Clinical manifestations: 65 cases of jaundice, 36 cases of right upper abdominal discomfort or pain, 15 cases of right upper abdominal cramps, 23 cases of obvious weight loss, 32 cases of kaolin soil, 9 cases of fever, 11 cases of hepatomegaly, and 6 cases of right upper abdomen Cases, 13 cases of ascites.