恶性梗阻性黄疸的诊断和治疗

,,,,:1.[J].,2002,27(2):1062108.2DescottesB,LachachiF,SodjiM,etal.Earlyexperiencewithlaparoscopicapproachforsolidlivertumors:initial16cases[J].AnnSurg,2000,232(5):6412645.3KerCG,ChenHY,JuanCC,etal.Laparoscopicsubsegmentec2tomyofhepatocellularcarcinomawithcirrhosis[J].Hepatogas2troenterology,2000,47(35):126021263.4,,,.[J].,2002,27(2):1012103.5CherquiD,HussonE,HammoudR,etal.Laparoscopicliverresections:afeasibilitystudyin30patients[J].AnnSurg,2000;232(6):7532763.6Abdel2AttyMY,FargesO,JagotP,etal.Laparoscopyextendstheindicationsforliverresectioninpatientswithcirrhosis[J].BJS,1999,86:139721400.7HusherCG,LiriciMM,ChiodiniS.Laparoscopicliverresec2tions[J].SeminLaparoscSurg,1999,5(3):2042210.8ShimadaM,HashizumeM,MaeharaS,etal.Laparoscopichep2atectomyforhepatocellularcarcinoma[J].SurgEndosc,2001,15(6):5412544.9FrancoisGJ,DavidG,JuanSA,etal.Laparoscopicliverresec2tionformalignantlivertumors:preliminaryresultsofamulti2centerEuropeanstudy[J].AnnSurg.2002,236(1):90297.(),510060,,,,:2002-03-122002-08-06,,,199862000122929,26,10,BCTERCP,;;R657.4+3A100624761(2003)0220117202DIAGNOSISANDTREATMENTOFMALIGNANTOBSTRUCTIVEJAUNDICE.(LONGHong2gang,ZHANGHui,KUANGWei2ming,etal.Departmentofsurgeryof8thpeople’shosptialGuangZhou.GuangZhou510060,China)AbstractObjectiveTopromotethediagnosisandtreatmentlevelformalignantobstructivejaundice.MethodsThedataof29patientswithmalignantobstructivejaundicetreatedinourhospitalfromJune1998toDecember2000wereretro2spectovelyanalyzed.Results29caseswereadvancedcarcinoma,26caseswereoperatedinourhospital,theradicalresectionoperationwasperfumedinonly10cases.ConclusionEarlydiagnosisformalignantobstructivetumorofbiliaryandpancreat2icsystemisthecrucialfactorforincreasingradicalresection,B2ultrasonographyCTandERCParevaluableexaminationforsuspectalpatientsandcanpromotetherateofearlydiagnosis.Keywordsmalignant,jaundice;diagnosis;treatment199862000122911.129,18,11,79,19,59.8,12,10,15,1B,24CT,CT,23PTC1MRCP26,1.21715,106,71120034112JournalofHepatobiliarySurgery,Vol.11,No.4,Apr.2003©1994-2007ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.(AKP),C2(GGT),GGT[1]GGT[2],,,K2ras,[3]2.1.2B(BUS),90%[4],BUS:,,;,,,;;,,,,2.1.3CT,CT:;;;CTBUS,2.1.4PTCPTC,,MRCPCTPTC,,2.1.5ERCPERCPPTC,CT,ERCPAOSC,[5]2.2,,,2.2.1BismuthÉÊ,CT,:,;Ëb,,,Ëa,,,URoux2en2Y,,,2.2.2,NevinÌÍ,,,612,2.2.3,,,,,,[6],[7],,,,,,,,,:1,.[M].:,1992:346.2,.[J].,2002,7:79.3,,.K2ras.[C]:167.4.[J].,1996,16:7.5.[J].,1996,16:3.6,,.8[J].,1998,11:676.7JDRoderRosch.W.Bautz.[J].,1999,12(3):164.()81120034112JournalofHepatobiliarySurgery,Vol.11,No.4,Apr.2003©1994-2007ChinaAcademicJournalElectronicPublishingHouse.Allrightsreserved.