肝外胆管恶性狭窄的鉴别诊断  

Advances in the differential diagnosis of malignant bile duct stenosis

作　　者：孟春艳 王菁[2] 王波[1] MENG Chunyan;WANG Jing;WANG Bo(Department of Gastroenterology,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;Health Management Center,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院消化内科,武汉430030 [2]华中科技大学同济医学院附属同济医院健康管理中心,武汉430030

出　　处：《临床肝胆病杂志》2024年第4期844-849,共6页Journal of Clinical Hepatology

基　　金：湖北省基金面上项目(2021CFB401);湖北省卫生健康委面上项目(WJ2023M014)。

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。There are various etiologies for extrahepatic bile duct stenosis,and pharmacotherapy and endoscopic intervention can achieve a good clinical effect in benign stenosis.Early diagnosis and timely surgical treatment of malignant stenosis may prolong the survival time of patients.However,there are still difficulties in the differential diagnosis of malignant bile duct stenosis.This article reviews the application of serology,radiology,endoscopic techniques,and artificial intelligence in the differential diagnosis of malignant bile duct stenosis,so as to provide strategies and references for formulating clinical diagnosis and treatment regimens.

关 键 词：胆管 肝外 胰胆管造影术 内窥镜逆行 人工智能 诊断 鉴别 

分 类 号：R575.7[医药卫生—消化系统]