肝門部膽管癌外科治療后生存期的相關(guān)因素分析.pdf

1、青島大學(xué)碩士學(xué)位論文肝門部膽管癌外科治療后生存期的相關(guān)因素分析姓名：李炳才申請學(xué)位級別：碩士專業(yè)：外科學(xué)（肝膽外科）指導(dǎo)教師：張炳遠20080515AbstractTheanalysisofcorrelationfactorstolifespanaftersurgicaltherapytohilarcholangiocarcinomaAbstract[objetive]：comparetheeffectoftherapeuticsmet

2、hodstoprognosisofhilarcholangiocarcinoma【Method】：aretrospectiveclinicalanalysiswasperformedontheclinicaldatafrom108patientswithhilarcholangiocarcinomafromian2000toapr2005thestandardofradicalexcisioniSnoncancerwithmicrosc

3、opeatincisedmarginoritcanbeclassifiedasR1thestandardofR2iSthattheremainoftumorcanbefoundwithnakedeyes1aparotomizeddrainageincludeT—typepipedrainageandcholeintestinalanastomosisnon1aparotomizeddrainageincludePTBDandbiliar

4、yendoprosthesisThetimetoinitiatefollow—upiSthedateofsurgerytheendpointiSdateofdeathorthelastdateofinvestigationStatistics：disposethedatawithspssl30tocomparetheallkindsoftherapytoHCC【result]：108patientswithhilarcholangioc

5、ardnomasurgicallytreatedinourhospitalfroman2000tomay2003therateofradicalresectioniS333％(36／108)，thetherateofpalliativeresectionis361％(39／l08)(R1，R2)Inthedrainagegroup14patientsundergoinglaparotomizeddrainageand19patients

6、undergoingnon1aparotomizedrespectivelyThesurvivalofpatientswithresectionwaslongerthanthatofdrainagegroupamongofthemthepatientswithradicalresectionpossesshighersurvivalrate[Conclusion]：themethodoftherapyisthemostimportant

7、factortoprognosisTheeffectofradicalexcisionisbestamonglaparotomizedoperationTheeffectofpalliativeresectionisbetterthanthatofsimplebypassoperationthereisnoobviousdifferencebetweenthesurvivaloflaparotomizedandnon—laparotom