CAJ | 학술논문

目的：探讨内镜在胆道梗阻型肝细胞性肝癌处理中的作用。方法：回顾性分析1997年5月～2000年5月共12例胆道梗阻型肝细胞性癌患者内镜处理的结果。其中原发性肝癌并胆管内癌栓5例，原发性肝癌并胆管结石7例。进行内镜处理+切肝7例。内镜处理+TAE+切肝1例；单纯内镜处理3例。结果：手术死亡1例，失访2例，共3例，占25%，余下9例中，存活3～6个月2例，存活半年～1年3例，存活1～2年3例，存活2例以上1例，存活1年以上的均为内镜处理加手术切肝的病人。结论：对于肝癌出现黄疸，治疗上应区别对待，不能一概而论，应增强对本病的认识，争取在胆道梗阻的早期，进行积极的内镜处理，配合正解的手术、或介入放射等综合治疗，可获得良好的治疗效果。
목적：탐토내경재담도경조형간세포성간암처리중적작용。방법：회고성분석1997년5월～2000년5월공12례담도경조형간세포성암환자내경처리적결과。기중원발성간암병담관내암전5례，원발성간암병담관결석7례。진행내경처리+절간7례。내경처리+TAE+절간1례；단순내경처리3례。결과：수술사망1례，실방2례，공3례，점25%，여하9례중，존활3～6개월2례，존활반년～1년3례，존활1～2년3례，존활2례이상1례，존활1년이상적균위내경처리가수술절간적병인。결론：대우간암출현황달，치료상응구별대대，불능일개이론，응증강대본병적인식，쟁취재담도경조적조기，진행적겁적내경처리，배합정해적수술、혹개입방사등종합치료，가획득량호적치료효과。
Objective:To study the effect of endoscope on the treatment of Hepatocellular Carcinoma (HCC) combined with biliary tract obstrucition (BTO).Methods:We have analyzed retrospectively the results of twelve patients suffering from HCC combined with BTO from 5,1990 to 5,2000.Among these cases,various reasons were found.5 of them were intrabilitary cancer embolus,7 were billary calculus.7 of them were treated with endoscope and following surgical resection,1 was treated with endoscope、TAE and resection,the 3 rest of them were solely treated with endoscope.Results:Of all the 12 cases,1 died of resection,2 failed to follow the survey,these 3 cases above took 25%;among the rest of 9 cases,2 of them survived for 3 to 6 months,3 for half to 1 year,3 for 1 to 2 year,1 for at least 2 years.Those cases suviving for more than 1 year were received surgical resection.Conclusions:We should have no fixed way but to deal with each patient of HCC combined with BTO on his/her merits.As our recognition towards them began accumulating,we found that,in the early stage of obstruction,active endoscopic treatment would prove to be preferable.If combined with other therapy such as surgical resection and TAE,Endoscopy would improve the curative effect of HCC combined with BTO substantially.