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目的 探讨提高远端胆管癌早期诊断率的方法。方法 对经手术和病理确诊为远端胆管癌的 2 2例患者进行回顾性临床分析。结果 2 2例中 ,进行 B超检查 15例 ,11例拟胆管癌 (73.3% ) ,进行 CT检查 14例 ,9例拟胆管癌 (6 4.3% )。行 ERCP检查 5例 ,4例拟胆管癌。结论 胆管癌早期诊断首选 B超 ,如不能明确时可加做 CT检查 ,对仍未能明确诊断者 ,再选择 ERCP或 PTC检查。
Objective To explore methods for improving the early diagnosis rate of distal bile duct cancer. Methods A retrospective clinical analysis of 22 patients with distal bile duct carcinoma diagnosed by surgery and pathology was performed. Results Of the 22 cases, 15 were performed with B-ultrasound, 11 with cholangiocarcinoma (73.3%), 14 with CT, and 9 with cholangiocarcinoma (64.3%). The ERCP examination was performed in 5 cases and 4 cases were diagnosed as cholangiocarcinoma. Conclusion The first choice for early diagnosis of cholangiocarcinoma is B-ultrasound. If it is not clear, it can be added to CT examination. For those who are still not diagnosed, choose ERCP or PTC examination.