肝門部膽管癌外科治療后生存期的相關因素分析.pdf

1、青島大學碩士學位論文肝門部膽管癌外科治療后生存期的相關因素分析姓名：李炳才申請學位級別：碩士專業(yè)：外科學（肝膽外科）指導教師：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