1.湘雅常德医院普外科,湖南 常德 415000
2.武汉科技大学附属天佑医院肝胆胰外科,湖北 武汉 430064
3.鄂州市中心医院肝胆外科,湖北 鄂州436000
4.华中科技大学同济医学院附属同济医院胆胰外科,湖北 武汉430030
聂云贵,硕士,副主任医师,主要从事肝胆胰相关疾病的临床研究,Email:nierengui@126.com
王兵,Email:232088048@qq.com
收稿:2023-08-24,
纸质出版:2024-08-22
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聂云贵,朱博,曹中杰等.光动力疗法治疗不可切除肝外胆管癌的研究进展[J].腹部外科,2024,37(04):296-300.
Nie Yungui,Zhu Bo,Cao Zhongjie,et al.Current researches of photodynamic therapy for unresectable extrahepatic cholangiocarcinoma[J].J Abdominal Surg,2024,37(04):296-300.
聂云贵,朱博,曹中杰等.光动力疗法治疗不可切除肝外胆管癌的研究进展[J].腹部外科,2024,37(04):296-300. DOI: 10.3969/j.issn.1003-5591.2024.04.012.
Nie Yungui,Zhu Bo,Cao Zhongjie,et al.Current researches of photodynamic therapy for unresectable extrahepatic cholangiocarcinoma[J].J Abdominal Surg,2024,37(04):296-300. DOI: 10.3969/j.issn.1003-5591.2024.04.012.
肝外胆管癌早期无特异症状,黄疸是最常见临床表现,临床诊断时多为进展期,不可切除比例较高,预后较差且缺少有效的姑息治疗手段。胆道支架减黄是标准的姑息治疗方式,但并未明显延长中位生存期。光动力治疗是一种药械联合技术,具有药物靶向性富集和光照靶向性激活的精准治疗特点,可协同胆道支架、手术、化疗、免疫治疗以提高疗效,具有可观的应用前景,可作为不可切除肝外胆管癌的一种有效局部治疗手段。
The most common symptom of extrahepatic cholangiocarcinoma is jaundice. Due to a lack of early special symptoms, most patients become inoperable at the time of an initial diagnosis. The prognosis of patients with advanced or unresectable extrahepatic cholangiocarcinoma is generally poor owing to ineffective palliative therapy. Stenting for bile duct drainage has been a standard procedure of relieving symptoms and improving quality-of-life. However, no significant improvement of median survival time is noted. Photodynamic therapy is a combination of photosensitizer and laser light. In conjunctions with biliary stenting, surgery and chemoimmunotherapy, targeted accumulation of photosensitizer in tumor tissues and accurate activation by laser light may further boost the curative efficacies. With bright application prospects, it may be employed as an effective local therapy for unresectable extrahepatic cholangiocarcinoma.
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