[1]金浩,刘会春**,李宗狂,等.超细胆道镜在经皮经肝途径胆管肿瘤活检中的应用[J].中国微创外科杂志,2017,17(08):698-700.
　Jin Hao,Liu Huichun,Li Zongkuang,et al.Application of Percutaneous Transhepatic Ultrafine Choledochoscopy in the Biopsy of Cholangiocarcinoma[J].Chinese Journal of Minimally Invasive Surgery,2017,17(08):698-700.
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超细胆道镜在经皮经肝途径胆管肿瘤活检中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年08期
页码:
698-700
栏目:
临床研究
出版日期:
2017-08-20

文章信息/Info

Title:
Application of Percutaneous Transhepatic Ultrafine Choledochoscopy in the Biopsy of Cholangiocarcinoma
作者:
金浩; 刘会春**; 李宗狂; 王勇; 满忠然; 黄伟
蚌埠医学院第一附属医院肝胆外科，蚌埠233004
Author(s):
Jin Hao;  Liu Huichun;  Li Zongkuang;  et al.
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
关键词:
胆管癌; 经皮经肝胆道引流; 经皮经肝胆道支架置入; 超细胆道镜; 活检
Keywords:
Cholangiocarcinoma; Percutaneous transhepatic cholangial drainage (PTCD); Percutaneous transhepatic stent placement; Ultrafine choledochoscope; Biopsy
文献标志码:
A
摘要:
目的探讨超细胆道镜在经皮经肝胆管肿瘤活检中的应用价值。方法2014年12月~2016年9月，对21例行经皮经肝胆道引流（percutaneous transhepatic cholangial drainage，PTCD）联合胆道支架置入的胆管肿瘤，应用超细胆道镜取活检。结果10例获得明确病理结果（腺癌），5例倾向于癌诊断，1例上皮内瘤变，3例乳头状增生伴重度不典型增生，2例病理结果为炎症。无严重并发症。结论超细胆道镜可以应用于胆管肿瘤经皮经肝途径活检。
Abstract:
ObjectiveTo investigate the application value of percutaneous transhepatic ultrafine choledochoscopy in the pathological examinations of cholangiocarcinoma.Methods A combination of percutaneous transhepatic cholangial drainage (PTCD) and biliary stent placement was performed in 21 patients with cholangiocarcinoma from December 2014 to September 2016. During the surgery, a ultrafine choledochoscope was used for biopsy.ResultsDefinite positive pathological results (adenocarcinoma) were obtained in 10 patients. And there were 5 cases inclined to diagnosis of carcinoma under microscope showing deepdyed big nucleolus, 1 case of intraepithelial neoplasia, 3 cases of papillary hyperplasia with severe atypical hyperplasia, and 2 cases of inflammation. No severe complications occurred.ConclusionPercutaneous transhepatic ultrafine choledochoscopy can be applied in the biopsy of cholangiocarcinoma.

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备注/Memo

备注/Memo:
基金项目：安徽省科技攻关基金（编号：1501041155）；蚌埠医学院科技发展基金（编号：BYKF1404）**通讯作者，Email：doctorlhc2000@aliyun.com
更新日期/Last Update: 2017-11-22