肝外恶性梗阻性黄疸218例临床分析

Clinical Analysis of 218 Cases of Maligant Extra-hepatic Obstructive Jaundice

Hepato-Biliary Surgery of the Affiltand Hospital ofNinxia Medical College, Yingchuan 750004

摘要: 本文分析我院1978一1996年间收住的恶性梗阻性黄疸218例。 1978-1990年间主要靠11一US、PTC检查; 1990-1996年间对B-US发现肝内外胆管有扩张者作PTC, 不扩张的病例采用ERCP, 个别病例采用CT－ECP、MRI, 互补印证。本文报告病例中, 术前检出率达到86.6％, 手术切除率为53.76％, 五年生存率达50％以上。
- 恶性梗阻性黄疸 /
- 诊断 /
- 手术
Abstract: Thispaper presents 218 cases of malignant obstructive jaundice admitted in our hospital during the period of 1978-1996. Before 1990, their diagnses mainly depend on B-us and PCT.From then on, PCT was used in cases with cholangioectasis B-us; While ERCPT wasused in Patients without cholangioectasis. In individual cases, CT、ECP、MRI were used for com-plement and confirmaton. In this series, the rate of pre-operative definite diagnoses got to 86.6%, the incicive rate got to 53.76% and the five-years living rate was rased to 50%.
- malignant bstructive jaundice /
- diagnosis /
- operation