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肝外胆管恶性狭窄的鉴别诊断

孟春艳 王菁 王波

引用本文:
Citation:

肝外胆管恶性狭窄的鉴别诊断

DOI: 10.12449/JCH240433
基金项目: 

湖北省基金面上项目 (2021CFB401);

湖北省卫生健康委面上项目 (WJ2023M014)

利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:孟春艳负责数据收集,论文撰写;王菁负责文献查询,研究指导;王波负责论文撰写及修改。
详细信息
    通信作者:

    王波, wangbo@tjh.tjmu.edu.cn (ORCID: 0000-0002-3238-266X)

Advances in the differential diagnosis of malignant bile duct stenosis

Research funding: 

Hubei Provincial Natural Science Foundation of China (2021CFB401);

Hubei Province Health and Family Planning Scientific Research Project (WJ2023M014)

More Information
  • 摘要: 引起肝外胆管狭窄的病因很多,其中良性狭窄可以通过药物治疗及内镜干预获得较好的疗效。恶性狭窄如能早期诊断,并及时行手术治疗有望延长患者的生存期。然而,肝外胆管恶性狭窄的鉴别诊断迄今为止仍然较为困难。本文就血清学、影像学、内镜相关技术及人工智能技术在肝外胆管恶性狭窄鉴别诊断中的进展进行综述,以期为制订临床诊疗方案提供策略和参考。

     

  • 图  1  肝外胆管恶性狭窄的IDUS表现

    Figure  1.  Intraductal ultrasonography findings of malignant extrahepatic bile duct stenosis

    图  2  肝外胆管恶性狭窄的EUS表现

    Figure  2.  Endoscopic ultrasound imaging of malignant extrahepatic bile duct stenosis

    图  3  肝外胆管恶性狭窄的POCS表现

    Figure  3.  Peroral cholangioscopy images of malignant extrahepatic bile duct stenosis

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  • 收稿日期:  2023-07-09
  • 录用日期:  2023-08-14
  • 出版日期:  2024-04-11
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