The laboratory of gall bladder cancer checks

A, analyze a check
Its diagnosis to the gall bladder cancer meaning isn't big and have no particularity to express.In the later period, the total Dan red vegetable can obviously increase Gao, much in order to jam sex, parts of patients can appear cholesterol to increase Gao, the alkaline phosphoric acid Mao increases Gao.The gall becomes sluggish to cause valley grass to turn ammonia Mao and C to turn ammonia Mao to go up over a long period of time, the blood sinks to increase quickly.
Two, the super voice check
Be like to learn a check method in various voice in, with B super lead to the diagnosis of the gall bladders cancers tallest, is diagnosis earlier period gall bladder cancer more effective method.
The 1. Bs super check
In early days gall bladder cancer performance in order to summarize briefly stanza, the pathological changes was generally smaller, about the 10~25 mms, had 90%, showed to change for swelling up a sexually transmitted disease .The super voice shows that the gall bladder wall increases thick or soft organization to swell up.The scholar thinks, any pathological changes is bigger than a 10 mms, appearance irregular, base breadth, the internal echo presents single hair or merger to contain stone calculus not and all and have aware of self symptom, in response to high doubt is earlier period gall bladder cancer.The pathological changes can explore till later period and the irregular bag wall increases thick over the 4 mms(normal gall bladder wall 1~2 mms), the gall bladder chamber is narrow and small or out-of-the-way.Solid sex light regiment inside the gall bladder, the lump is more big, the cancer possibility is more big, Geng Zu it is thus clear that Geng Zu above department the liver and gall tube obviously extends and sometimes discovers that the liver has already transfered cooking stove.
2.Inside the mirror super voice(EUS)
EUS has already extensively developed abroad, the domestic is also developing a this kind check.The ability of EUS is clear to show the bag wall 3 F of picture.The gall bladder cancer often presents nipple-like in shape grow, the cancer organizes gradually gall bladder wall and make it the normal structure encounter breakage.EUS can also probe into the depth of tumor invasion and was advantageous to diagnose and provide a surgical operation method in early days.
Three, the CT check
CT check can clearly show the dissection relation of gall bladder, Dan way part, particularly is gall bladder wall's showing that the accuracy can reach to 90.9% towards judging gall bladder size, appearance and position, , this aspect obviously surpasses B super.Pass to strengthen the real thickness that the broom(inject 50% to be suffused with shadow the Pu An 80-100 mls inside the vein) shows gall bladder wall, over 3.5 mms is abnormality.Gall bladder cancer, often present to limit sex, dissymmetry, anomaly, the noodles inside the chamber isn't only slippery, can blaze to mutually discriminate with gall bladder.
Four, inside mirror next negative bile duct in the line builds a shadow(ERCP)
Can show that the gall bladder cancer changes, the diagnosis rate can reach to 70%-90%.Build movie queen to show shadow defection and damage inside the gall bladder, the tumor neck tube jams, the gall bladder doesn't develop, total bile duct or total liver take care of narrow, Geng Zu.But ERCP the check have half above gall bladders not to develop around.Shoulding check can understand a bile duct circumstance and contribute to discriminating diagnosis.May also adopt gall to go a cytology check through ERCP.
Five, the cytology check
The cytology check directly took to live check and sampled gall to check cancer cell two kinds of methods.
1.Live check
(1)the B super guide line the bottom wear a sting to the gall bladder pathological changes part, that method a little bit in brief and easily goes.
(2)Dan way the son female mirror Be checks(PTCCS) through the liver and gall bag mirror by skin.
(3)Be taken to live check by belly cavity mirror.
Empress two kinds of methods need a certain equipments technique to complete.
2.Adopt gall to check to shed off cell
Can go gall bladder to wear a sting under the B super guide line, PTC(Be worn a sting by skin liver and gall tube) leads to flow or collects through PTCCS etc..Adopt gall to check cancer cell, fifty-fifty more than number gall bladder cancers can make to visit patients at home to break, is also settle to the gall bladder cancer sex diagnosis of a kind of dependable method.