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肝内胆管结石合并肝内胆管癌56例临床分析
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【西医 毕业论文】【关键词】 胆管上皮癌;肝内胆管结石; 治疗 ;预后,[摘要] 目的 探讨肝内胆管结石合并肝内胆管癌的临床特点、诊断和治疗 方法 。方法 回顾性 分析 收治的56例经手术病理证实的肝内胆管结石合并胆管癌的临床资料。结果 56例患者中,肝内胆管结石合并肝内胆管癌在所有肝内胆管结石的病例中占6.07%(56/923)。CA199全组检测阳性率达85.71%;术前B超、CT和MRI/MRCP对肝内胆管结石并发肝内占位病变确诊率分别为53.57%、61.710%、69.77%。手术根治切除率、姑息切除率分别为46.43%、25.00%。根治切除组1、2、3年生存率分别为92.28% ,69.23% ,53.84% ;姑息切除组1、2、3年生存率分别为35.73% ,21.41% ,0.00% ;无法切除组无一年生存率。结论 肝内胆管结石症状反复发作、血CA199阳性、合并有肝内胆管结石病史的肝脏占位对于诊断肝内胆管癌有重要价值。积极的手术切除能提高生存率。 [关键词] 胆管上皮癌;肝内胆管结石;治疗;预后 [Abstract] Objective To explore the clinical characteristics and different diagnosis and therapeutic methods of hepatolithiasis with intrahepatic cholangiocarcinoma(ICC). Methods The clinical data of 56 patients with hepatolithiasis and intrahepatic cholangiocarcinoma were retrospectively analyzed. Follow up data were available for all the patients. Results The occurrence rate of the hapatolithiasia concomitant with
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