肝内胆管结石伴胆管癌的研究进展  

Progress in research of hepatolithiasis associated intrahepatic cholangiocarcinoma

作　　者：刘袁君[1] 吴涯昆 王春华[1] 杨静[1] 戴毅[1] LIU Yuanjun;DAI Yi;WU Yakun;WANG Chunhua;YANG Jing(Department of Hepatobiliary Surgery,Suining Municipal Central Hospital,Suining,Sichuan 629000,China)

机构地区：[1]四川省遂宁市中心医院肝胆外科

出　　处：《重庆医学》2020年第5期833-836,841,共5页Chongqing medicine

基　　金：四川省卫生和计划生育委员会课题基金项目（17ZD020）

摘　　要：肝内胆管结石伴长期反复发作性胆管炎常常引起肝内胆管癌(ICC)的发生。ICC发病隐匿,其高危因素是多方面的,常被肝内胆管结石伴胆管炎所引起的临床症状掩盖而被忽视,错过了最佳的根治机会。因此,在肝内胆管结石伴胆管炎的临床诊治中,应结合患者的病史、体征、临床检验和影像学检查,注意判断是否同时伴发ICC。对诊断考虑肝内胆管结石伴胆管癌(HICC)的患者应积极采取以手术为主的综合治疗方案,术后密切随访,早期发现、早期诊断、早期治疗,延长患者的生存期,并提高患者的生活质量。Hepatolithiasis with long-term recurrent cholangitis often causes intrahepatic cholangiocarcinoma(ICC).ICC is insidious,and its high risk factors are multi-faceted,often overlooked because of the clinical symptoms caused by hepatolithiasis with cholangitis,and missed the best chance of cure.Therefore,in the clinical diagnosis and treatment of hepatolithiasis with cholangitis,we shoulcombine the patient's medical history,physical signs,with clinical examination and imaging examination,pay attention to determine whether or not accompanied by ICC.For the patient diagnosed as hepatolithiasis associated cholangiocarcinoma(HICC),a comprehensive surgical-based treatment plan should be actively followed.The patient should be closely followed up after operation,and get early detection,early diagnosis and early treatment for prolonging the survival period and improving the quality of life.

关 键 词：肝内胆管结石 肝内胆管癌 研究进展 

分 类 号：R604[医药卫生—外科学]