CAJ | 학술논문

目的：了解晚期胆管癌姑息胆道引流的治疗效果，探讨晚期胆管癌的治疗方法。方法：分析经胆道引流术治疗的晚期胆管癌35例的I晦床资料。手术方式包括胆肠吻合术，胆肠置管搭桥引流，U管引流，单纯外引流，或两种术式联用。结果：77.1％术后两周内血清总胆红素下降50％以上。22.9％出现术后早期并发症，手术死亡率14.3％。术后随访：胆肠引流术9例，中位生存期11.3个月。U管引流7例存活1年以上。单纯外引流3例术后3个月内死亡。结论：胆道引流术是治疗晚期胆管癌的一种有效方法，可获良好的姑息治疗效果。
목적：료해만기담관암고식담도인류적치료효과，탐토만기담관암적치료방법。방법：분석경담도인류술치료적만기담관암35례적I회상자료。수술방식포괄담장문합술，담장치관탑교인류，U관인류，단순외인류，혹량충술식련용。결과：77.1％술후량주내혈청총담홍소하강50％이상。22.9％출현술후조기병발증，수술사망솔14.3％。술후수방：담장인류술9례，중위생존기11.3개월。U관인류7례존활1년이상。단순외인류3례술후3개월내사망。결론：담도인류술시치료만기담관암적일충유효방법，가획량호적고식치료효과。
Objective: To evaluate the therapeutic effect of surgical biliary drainage for advanced bile duct cancer. Methods:The clinical data of 35 cases of advanced bile duct cancer undergone surgical biliary drainage were analysed retrospectively.The surgery for biliary drainage used in our series included bilioenteric anastomosis, internal biliary drainage with intubationmethod,u-tube drainage,external drainage,or in combination. Results: Total serum bilirubin levels of 27 patients (77.1%)reduced over 50% in two weeks after operation. 8 patients (22.9%) had complications at early postoperative period. The oper-ative mortality was 14.3%. Median survival time of 9 patients received internal drainage was 11.3 months. 7 patients receivedu-bube drainage survived for more than one year. 3 patients received external drainage died with in 3months. Conclusion: Sur-gical biliary drainage plays an important role in relieving symptoms, improving quality of life and prolonging time of life for ad-vanced bile duct cancer.