目的：观察胆管癌栓清除术或加肝癌切除术治疗原发性肝癌伴胆管癌栓的疗效。
Objective to summarize the methods of diagnosis and treatment for primary hepatocellular carcinoma (PHC) with tumor thrombus in the bile duct (TTBD).
目的：观察胆管癌栓清除术或加肝癌切除术治疗原发性肝癌伴胆管癌栓的疗效。
Objective To evaluate the effect of surgical treatment for primary hepatocellular carcinoma(HCC) with bile duct thrombi(BDT).
目的探讨伴胆管癌栓的原发性肝癌（HCC）外科治疗方式的选择及对预后的影响。
Objectives To summarize the experience of surgical intervention for hepatocellular carcinoma(HCC) with bile duct thrombi(BDT), and to evaluate the influence on prognosis.
结论：原发性肝癌合并胆管癌栓的患者明确诊断后行积极的外科治疗，可获得较好的治疗效果。
Conclusions: Patients with hepatocellular carcinoma and tumor thrombus of bile duct can obtain a good outcome after definitive diagnosis and aggressive surgical treatment.
结论：原发性肝癌合并胆管癌栓的患者明确诊断后行积极的外科治疗，可获得较好的治疗效果。
Conclusions: Patients with hepatocellular carcinoma and tumor thrombus of bile duct can obtain a good outcome after definitive diagnosis and aggressive surgical treatment.
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