[1]杨福玲 苏洪英 冯博 邵海波 徐克.肝门部胆管癌单双侧引流介入治疗疗效对比分析[J].介入放射学杂志,2009,(08):603.
　YANG Fu-ling SU Hong-ying FENG Bo SHAO Hai-bo XU Ke.The efficacy of interventional therapy for hilar cholangiocarcinoma: a comparison between unilateral and bilateral biliary duct drainage[J].journal interventional radiology,2009,(08):603.
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肝门部胆管癌单双侧引流介入治疗疗效对比分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2009年08期
页码:
603
栏目:
非血管介入
出版日期:
2009-08-15

文章信息/Info

Title:
The efficacy of interventional therapy for hilar cholangiocarcinoma: a comparison between unilateral and bilateral biliary duct drainage
作者:
杨福玲 苏洪英 冯博 邵海波 徐克
沈阳中国医科大学附属第一医院放射科,110001
Author(s):
YANG Fu-ling SU Hong-ying FENG Bo SHAO Hai-bo XU Ke
关键词:
肝门部胆管癌 胆道引流 疗效
分类号:
R735.8
摘要:
目的 分析Bismuth-Corlette Ⅱ～Ⅳ型肝门部胆管癌行单侧胆管引流与双侧胆管引流的疗效,为临床选择正确的引流方法提供依据.方法 回顾性分析80例肝门部胆管癌患者经皮经肝胆道引流术的临床资料,并随访观察其引流术后近、远期疗效.将全部病例分为单侧胆管引流(52例)和双侧胆管引流(28例)两组,比较其疗效的差异.结果 两组间年龄、性别、临床分型、引流方式、术前总胆红素、直接胆红素、白细胞、总蛋白、白蛋白水平均没有显著性差异.术后两组总胆红素、直接胆红素下降值平均分别为:单侧组82.73 μmol/L和31.71 μmol/L,双侧组80.28 μmol/L和57.89 μmol/L.两样本t检验差异无统计学意义(P>0.05).术后1、2、4、6、8、12、16、20个月生存率分别为:单侧组为97.4%、87.2%、64.1%、49.0%、41.6%、33.8%、14.5%、7.2%;双侧组为83.3%、72.2%、55.0%、48.1%、33.0%、24.8%、16.5%、16.5%,中位生存期均为约6个月.结论 Bismuth-Corlette Ⅱ～Ⅳ型肝门部胆管癌患者可以行单侧引流,既可有效减黄,且不影响中位生存期.

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备注/Memo

备注/Memo:
基金项目：国家科技支撑计划项目
更新日期/Last Update: 2009-08-15