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目的探讨胆管癌的临床特征。方法回顾分析30例患者的临床资料。结果本组21例手术患者围手术期死亡3例,其中因多器官功能衰竭死亡1例、急性肾功能不全1例、糖尿病高渗性昏迷死亡1例;胆漏2例,胆管感染3例,上消化道出血2例。随访患者15例,总体生存时间为2～38个月,平均20个月。结论胆管癌切除性的评估应在诊断确立之后,应尽可能争取手术,且争取行根治术。如无法手术,可通过ERCP放置支架,减轻黄疸,延长患者生存时间。
Objective To investigate the clinical features of cholangiocarcinoma. Methods The clinical data of 30 patients were retrospectively analyzed. Results There were 3 cases of perioperative death in this group of 21 cases, including 1 case of multiple organ failure, 1 case of acute renal insufficiency, 1 case of diabetic hypertonic coma, 2 cases of bile leakage, 3 cases of biliary tract infection, Upper gastrointestinal bleeding in 2 cases. Follow-up of 15 patients, the overall survival time of 2 to 38 months, an average of 20 months. Conclusions The assessment of excision of cholangiocarcinoma should be performed as soon as possible after the diagnosis is established, and the radical operation should be strived. If you can not surgery, ERCP stent can be placed to reduce jaundice and prolong the survival time of patients.