【摘要】 目的 探讨肝门部胆管癌的治疗方法。方法 回顾性分析我院1996～2004年间52例肝门部胆管癌患者的临床病例资料。Ⅰ型癌肿切除率最高，Ⅳ型癌肿切除率最低。结果 本组52例肝门部胆管癌中，围手术期死亡2例，均死于肝肾功能衰竭，余50例中31例术后获得随访，失访19例，随访率为62%。结论 疑似或诊断肝门部胆管癌应早期积极手术探查，争取行根治性切除术；肝门部胆管癌肿瘤切除疗效明显优于其他治疗方式。

    【关键词】 肝门部胆管癌；治疗

    Treatment of hilar bile duct carcinoma

    XIE Ying-jun,ZHANG Xue-wen,ZHAO Ji-sheng,et al.

    China-Japan Union Hospital of Jilin University,Changchun 130033,China

    【Abstract】 Objective To evaluate the therapeutic methods for hilar bile duct carcinoma.Methods Retrospective analysis of surgical management was performed on patients with hilar bile duct carcinoma in China-Japan Union Hospital between January 1996 and January 2004 years.Results There were 37 males and 15 females in 52 cases,aged 31 to 71 years(mean 54.8 years).History is between 5 days and 3 years,mean equals 2.5 months.Conclusion The surgical resection surpasses the other therapy in the long-term curative effect.If the tumor could not be resected,select drainage and support treatment should be chosen in order to prolong survival times and improve life quality.Radical resection should be accomplished if it is feasible. ......