高位膽管癌手術路徑選擇的應用解剖研究.pdf

1、山西醫(yī)科大學碩士學位論文高位膽管癌手術路徑選擇的應用解剖研究姓名：楊昌平申請學位級別：碩士專業(yè)：人體解剖學指導教師：楊桂姣2003.6.20Ol，erationPathinHighlevelResearchofchoosingⅨleDuctCarcinomaPostgraduateYangChangpingDirectorsYangGuijiao(Abstract)High—levelbileductcarcinoma，whichisa

2、lsocalledportalhepaticbileductcarcinoma(namelytheklatskinneoplasia)，isthemalignanttumoroccuredinfromtheleftandrighthepaticducttoCOlIlmOnhepaticductBecauseofitscomplicatedanatomicstructure，difficultoperationandbigtrauma，i

3、t’SanoperationwithhighriskIfthepurposeofpermanentcontrolcan’tbereached，the3yearsurviv—alrateisonly38％，andthe5yearsurvivalrateafterradicaloperationisonly132％EspeciallyintypeBismuthm一Ⅳbileductcarcinomatheoperationeffectism

4、uchWOrseObjective：Inordertoconductcorrespondingradicaloperationorpalliatirebileductdrainageaccordingtothebileductcarcinomawithdifferenttype，thewriterdetectedtheanatomiclengthandcircumferenceofgradeI—lIIbileductinportalhe

5、patis，andcomprehendedtheanatomicpositioninliver，SOastochoosebettervariouskindsofoperativeroutetomakeoperationMethods：Thewritercollectedthe1iverspecimensof16casescommonadults，whichweremadeintohollowedoutspecimensafterfixa