肝内胆管癌的诊断策略

肝内胆管癌是比较少见的恶性肿瘤，近30年来其发病率逐渐上升，因早期无特异临床表现，不易诊断，晚期治疗根治性切除率低，预后差。因此，对于肝内胆管癌患者，早期筛查及诊断尤为重要。影像学检查是检测肝内胆管癌的重要手段，可以联合实验室指标、病理学检查提高诊断率，降低漏诊率，临床上应根据患者具体情况合理选择。...

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Bibliographic Details
Published in临床肝胆病杂志 Vol. 33; no. 1; pp. 180 - 183
Main Author 粟立红 朱新宇 张缭云
Format Journal Article
LanguageChinese
Published 山西医科大学第一医院 感染科,太原,030001 2017
Subjects
综述
胆管肿瘤
诊断
预后
诊断
bile duct neoplasms
review
预后
胆管肿瘤
diagnosis
综述
prognosis
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Summary:肝内胆管癌是比较少见的恶性肿瘤，近30年来其发病率逐渐上升，因早期无特异临床表现，不易诊断，晚期治疗根治性切除率低，预后差。因此，对于肝内胆管癌患者，早期筛查及诊断尤为重要。影像学检查是检测肝内胆管癌的重要手段，可以联合实验室指标、病理学检查提高诊断率，降低漏诊率，临床上应根据患者具体情况合理选择。
Bibliography:Intrahepatic cholangiocarcinoma is an uncommon malignant tumor,and its incidence has been increasing in the recent 30 years. Since patients have no specific clinical manifestations in early stage,the diagnosis of this disease is often very difficult,with a low rate of radical resection in late stage and poor prognosis.Therefore,as for patients with intrahepatic cholangiocarcinoma,early screening and diag-nosis is of vital importance.Imaging examination is an important method for the diagnosis of intrahepatic cholangiocarcinoma,and when com-bined with laboratory markers and pathological examination,it can increase diagnostic rate and reduce the rate of missed diagnosis.It is im-portant in clinical practice to select reasonable methods based on the patient′s actual condition.
bile duct neoplasms; diagnosis; prognosis; review
SU Lihong, ZHU Xinyu, ZHANG Liaoyun （ The First Hospital of Shanxi Medical University, Taiyuan 030001, China ）
22-1108/R
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2017.01.042