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胆管癌确诊时大多已属晚期,常合并较严重的梗阻性黄疸。解除梗阻性黄疸及其肝损伤和全身影响为治疗的关键〔1〕。急诊减黄手段多为有创或微创治疗,如:各种胆管的内外引流手术、经皮肝穿刺胆道引流术(PTCD)、胆道支架等,可对部分患者起到快速减黄的目的,但持续时间短,易出现感染、出血等并发症,对原发肿瘤无作用,甚至继发转移。我院2003年以来对不能手术的胆管癌并梗阻性黄疸9例患者实施急诊立体定向适形放疗(3D-CRT)治疗,取得较好效果。
Most of the diagnosis of cholangiocarcinoma is already advanced, often with more serious obstructive jaundice. Lifting obstructive jaundice and liver damage and systemic effects of the key for the treatment 〔1〕. Emergency yellow means mostly invasive or minimally invasive treatment, such as: a variety of internal and external drainage bile duct surgery, percutaneous transhepatic biliary drainage (PTCD), biliary stents, etc., for some patients play a rapid reduction of yellow purposes, But the duration is short, prone to infection, bleeding and other complications, no effect on the primary tumor, and even secondary metastasis. In our hospital since 2003, 9 patients with inoperable cholangiocarcinoma and obstructive jaundice were treated by emergency stereotactic conformal radiotherapy (3D-CRT), with good results.