The analysis of the clinical characteristics and different diagnosis and therapeutic methods of hepatolithiasis with cholangiocarcinoma
Objective To explore the clinical characteristics and different diagnosis and therapeutic methods of hepatolithiasis with cholangiocarcinoma. Methods The clinical data of 21 patients with hepatolithiasis and cholangiocarcinoma were retrospectively analyzed. Follow up data were available for all the patients. Results The occurrence rate of the hapatolithiasia concomitant with cholangiocarcinoma was 3. 3%. the positive rate of CA199 was 76. 2%. In this series, the correct diagnostic rate of hepatolithiasis associated with aspace-occupying lesion in the liver before operation by ultrasonograph was 56. 3% ,by CT was 67. 8% and MRI/MRCP was 82. Z%. The radical resection rate was 42. 8% and the palliative resection was 57. 2%. The cumulative survival rate sat the 1st,2nd and 3rd year after radical resection were91. 3% ,71. 5%,and 50. 7% respectively. The cumulative survival rate sat the 1st ,2nd and 3rd year after palliative resection were 30. 3%, 18. 4% and 0. 00% respectively . There was no 1 year cumulative survival rate in non-operation patients. Conclusion Long-term recurrent hepatolithiasis , postoperation of biliary tract cholidocholithisis with cholangiocarcinoma , positive CA199 are helpful for the diagnosis of cholangiocarcinoma . Operative removal can improve the survival rate.
NETL
NSTL
万方数据
维普
