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目的 分析原发性肝癌并发胆管癌栓的临床、实验室检查及影像学特点,总结诊断规律。方法 回顾性分析我院17年收治的11例病人的临床表现、实验室检查及CT、MRI、ERCP、PTC及B超结果。结果 主要表现为梗阻性黄疸和肝癌的症状,影像学特征为肝内占位和胆管内癌栓的直接和间接影像学表现。结论 结合病史、实验室检查、多种影像学手段综合分析,提高对此类疾病的认识,可提高术前诊断率。
Objective To analyze the clinical, laboratory and imaging features of primary hepatocellular carcinoma complicated with cholangiocarcinoma and to summarize the diagnostic rules. Methods Retrospective analysis of clinical manifestations, laboratory tests and CT, MRI, ERCP, PTC and B-ultrasound results of 11 patients admitted to our hospital for 17 years. Results mainly manifested as obstructive jaundice and liver cancer symptoms, imaging features of intrahepatic space-occupying and cholangiocarcinoma direct and indirect radiological manifestations. Conclusion Combined with history, laboratory tests, a variety of imaging means a comprehensive analysis to improve awareness of such diseases, can improve the preoperative diagnosis rate.