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目的探讨内镜下治疗胆管乳头状瘤的价值。方法 6例经病理学检查证实的胆管乳头状瘤患者在行“胆道探查+T管引流术”后6～8周行胆道镜下高频电刀烧灼术,对术后治疗效果进行评估。结果 6例患者术后胆汁引流量逐渐增多至100～400 ml/d(平均250 ml/d),胆汁黏稠度明显减轻,黄疸减退。术后随访1～3年,平均2年,3例患者术后黄疸、腹痛明显减轻,至今无复发;2例在继续治疗中;1例患者随访半年,T管引流通畅,但因严重肺部感染并发多器官功能衰竭死亡。结论内镜下高频电刀烧灼治疗胆管乳头状瘤能有效缓解患者的临床症状,明显提高患者的生存质量。
Objective To investigate the value of endoscopic treatment of cholangiocarcinoma. Methods Six patients with cholangiocarcinoma confirmed by pathology underwent choledochoscope high frequency electrosurgical cauterization after 6 to 8 weeks after the operation of “Bile duct exploration + T tube drainage drainage” to evaluate the effect of postoperative treatment . Results The drainage volume of bile in 6 patients gradually increased to 100 ~ 400 ml / d (250 ml / d on average), the bile viscosity decreased obviously and jaundice decreased. The patients were followed up for 1 to 3 years, with an average of 2 years. The jaundice and abdominal pain were relieved in 3 patients and no recurrence so far. Two patients were treated continuously. One patient was followed up for six months and T tube was drained smoothly. However, Infection complicated by multiple organ failure. Conclusion Endoscopic high-frequency electrocautery cautery for the treatment of cholangiocarcinoma can effectively alleviate the clinical symptoms of patients, significantly improve the quality of life of patients.