论文部分内容阅读
肝门部胆管癌又称为Klaskin瘤,早期诊断较为困难。近年来随着影像学等技术的发展,肝门部胆管癌的诊断有了明显提高。本文综合相关文献后提出:B超是首选的检查方法,具有无创、简便、价廉的优点;CT与B超检查联用,成为不可缺少的手术前检查项目;MRCP无论在确诊肿瘤的部位和性质均优于其他检查;ERCP只能了解梗阻远侧的情况,需PTC弥补;PET/CT有利于早期诊断,但费用昂贵;SCAG和PTP检查对评价是否手术及选择手术方式有很大帮助;结合肿瘤相关抗原检测和胆汁脱落细胞学检查,其诊断特异性高,但敏感性低。
Hilar cholangiocarcinoma, also known as Klaskin’s tumor, is more difficult to diagnose early. In recent years, with the development of imaging and other technologies, the diagnosis of hilar cholangiocarcinoma has been significantly improved. In this paper, the relevant literature is proposed: B-ultrasound is the preferred method of examination, with the advantages of noninvasive, simple, inexpensive; CT and B-ultrasound combined to become an indispensable preoperative screening program; MRCP both in the diagnosis of tumor sites and The quality is better than other tests; ERCP can only understand the distal obstruction, to be PTC to make up; PET / CT is conducive to early diagnosis, but expensive; SCAG and PTP examination to evaluate the operation and choice of surgical methods are helpful; Combined with tumor-associated antigen detection and bile cytology, the diagnosis of high specificity, but low sensitivity.