摘要
目的 探讨肝胆管结石并胆管癌的早期诊断与治疗方法。方法 对 12 3例肝内胆管结石患者前瞻性研究 ,术前经 B超及 CT检查 ,糖抗原 CA1 9-9、CA1 2 5、CA50 的测定 ,术中对可疑组织均行活检。对诊断为并有胆管癌患者采取相应的手术治疗。结果 本组病例发现胆管癌 18例 ,对其确诊率达 10 0 % ;手术根治率 6 1%。结论 B超及 CT结合 CA1 9-9有利于早期发现胆管结石并胆管癌 。
Objective To probe into the method of early diagnose and treatment of cholelithiasis with bile duct carcinoma.Methods The prospective studies were carried out in 123 patients.B mode ultrasonography and computer tomography were performed;The level of carbonhydrate antigen 19 9,125 and 50 were measured in some cases peroperation.Biospy was carried out in doubtful tissure,all bile duct carcinoma patients underwent operation.Results 18 patients were diagnose as bile duct carcinoma.The accurate ration was 100% and radical operation ration was 61%.Conclusion The special apperance of B mode ultrasonigraphy and computertomography and CA 19-9 levels were helpful to find bile duct carcinoma of cholelithiasis early,and to improve the effecting of operation.
出处
《肝胆外科杂志》
2001年第6期427-429,共3页
Journal of Hepatobiliary Surgery
