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目的对老年原发性胆管细胞性肝癌与肝细胞癌患者的临床治疗进行比较。方法回顾性分析56例老年原发性肝癌患者的临床资料。经过相关检查后,将确诊为原发性胆管细胞性肝癌18例为胆管性肝细胞癌组,肝细胞癌患者38例为肝细胞癌组,对其进行对比分析。结果两组患者在肝硬化、AFP阳性率、CA19-9阳性率、误诊率、淋巴结转移、数目、包膜、肿瘤位置、病灶等方面比较,差异显著(P<0.05),但术后生存率比较无明显差异(P>0.05)。结论根据患者的影像检查和实验数据确诊病情,采用可靠的手术治疗,具有重要的医学意义。
Objective To compare the clinical treatment of elderly patients with cholangiocarcinoma and hepatocellular carcinoma. Methods Retrospective analysis of 56 cases of elderly patients with primary liver cancer clinical data. After the relevant examination, 18 cases of cholangiocarcinoma will be diagnosed as primary cholangiocarcinoma and 38 cases of hepatocellular carcinoma as hepatocellular carcinoma, which will be compared and analyzed. Results The two groups of patients had significant difference (P <0.05) in cirrhosis, AFP positive rate, CA19-9 positive rate, misdiagnosis rate, lymph node metastasis, number, capsule, tumor location and lesion, No significant difference (P> 0.05). Conclusion According to the patient’s image examination and experimental data to confirm the condition, the use of reliable surgical treatment has important medical significance.