超细胆道镜在经皮经肝途径胆管肿瘤活检中的应用  

Application of Percutaneous Transhepatic Ultrafine Choledochoscopy in the Biopsy of Cholangiocarcinoma

作　　者：金浩[1] 刘会春[1] 李宗狂[1] 王勇[1] 满忠然[1] 黄伟[1] 

机构地区：[1]蚌埠医学院第一附属医院肝胆外科,蚌埠233004

出　　处：《中国微创外科杂志》2017年第8期698-700,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：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)

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。Objective To 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. Results Definite 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 2cases of inflammation. No severe complications occurred. Conclusion Percutaneous transhepatic ultrafine choledochoscopy can be applied in the biopsy of cholangiocarcinoma.

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 

分 类 号：R735.8[医药卫生—肿瘤]