胆管癌并阻塞性黄疸的影像学诊断及介入治疗现状与进展韩新巍李臻.doc

胆管癌并阻塞性黄疸的影像学诊断及介入治疗现状与进展 韩新巍李臻 韩新巍，李臻.郑州大学第一附属医院放射科，河南省高校临床医学重点开放实验室。 韩新巍，博士，教授，硕士研究生导师，主要从事影像学诊断与介入放射学研究。 通讯作者：韩新巍,450052,河南郑州市建设东路1号郑州大学第一附属医院放射科,电话: 0371hnnxinwei2006@ ］ 63.com 电话：0371收稿日期： 修冋日期： Progress in imaging diagnosis and interventional therapy of Cholangiocarcinoma associated with obstructive jaundice Xin-wei Ham Zhen Li Xin-wei Han, Zhen Li. Dept of Radiology, The 1st Affiliated Hospital of Zhengzhou University ,Zheng zhou, Henan, 450052 China Correspondence to: Dr. Xin-wei Han. Dept of Radiology, The 1st Affiliated Hospital of Zhengzhou University. Zheng zhou, 450052 ,Henan Province,China. hanxinwei2006@ 163.com Received: Revised: Abstract Imaging examination is the major method to diagnosis the cholangiocarcinoma clinically, but the different diagnostic examination has different characteristic. Selecting suitable imaging examination will benefit to make correct diagnosis. Imaging diagnosis has made some progress with the development of imaging technology. Interventional therapy supplies an effective therapeutic measure for the patients presented with advanced stage cholangiocarcinoma. Nevertheless, many issues still exist in clinic, the different therapeutic methods are waiting for being standarded. Further study is needed to establish an scientific mode of interventional therapy. Key Words: cholangiocarcinoma; obstructive jaundice; imaging; interventional radiology Han XW, Li Z.Progress in imaging diagnosis and interventional therapy of cholangiocarcinoma associated with obstructive jaundice. Shijie Huaren Xiaohua Zazhi,2()08; 摘要 影像学检查是临床诊断胆管癌的主要方法，但不同方法各具特点，合理选择影像 学检查途径有助于提高诊断率。随着影像学技术的发展，胆管癌的影像学诊断取 得了一定进展。介入治疗为中晚期胆管癌患者提供了有效的治疗措施，但因治疗 方法较多，尚需规范，亟需深入研究，建立科学的介入治疗模式。 关键词：胆管癌 阻塞性黄疸 影像诊断介入放射学 韩新巍，李臻.胆管癌并阻塞性黄疸的影像学诊断及介入治疗现状与进展.吐界华人消化杂 志2008; ［摘要］ 0引言 胆管癌(指肝外胆管癌和胆囊癌)是恶性阻塞性黄疸(Obstructivejaundice OJ) 的主耍病因，发病率呈上升趋势。多数病人出现临床症状时已属进展期，伴远隔 转移，预后差。实验室诊断特异性不高，而外科病理学诊断困难且阳性率低。冃 前，影像学检查仍是主耍诊断方法⑴，对肿瘤定位及临床分期评估极为重要，但 临床应用不规范，影响检诊率。介入放射学已成为公认的治疗中晚期