【摘要】 目的 提高肝门部胆管癌的早期诊断水平。方法 回顾性分析36例肝门部胆管癌患者的诊断情况。结果 术前确诊率为75.0%。结论 非特异性的临床表现是影响早期诊断的潜在原因,对本病缺乏认识是误诊的直接原因。肿瘤标记物有助于肝门部胆管癌的诊断；但影像学检查更重要,其中B 超应列为首选,而磁共振胆胰管成像是一种全新、安全、准确的检查方法。

    【关键词】胆管癌；肝门；早期诊断

    Analysis of earlydiagnosis for 36 cases of hilar cholangiocarcinoma

    YINXiang-zhou,WANG Zhi-jun,GENG Wen-hao.Department ofSurgery,the Hospital of Yongtong Company of Anyang Iron and Steel Group Company,Anyang,Henan Province 455133，China

    【Abstract】 Objective To improve diagnosis of hilar cholangiocarcinoma(HCCA).Methods The clinical data on 36 patients with hilar cholangiocarcinoma were analyzed retrospectively.Results The diagnostic coincidence rate was 75.0%.Conclusion Nonspecific clinical manifestation is a potential cause of influence early diagnosis for HCCA,but the shortage of knowledge of it is a direct one.It is helpful to detect tumoral markers for diagnosis of HCCA,but imaging examination is more important for it,of which ultrasonography B should be the first choice,and magnetic resonance cholangiopancreatography (MRCP) is a new,safe and accurate method. ......