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经内镜逆行胰胆管造影术的若干进展
Advances in endoscopic retrograde cholangiopancreatography
文章发布日期:2018年02月07日  来源:  作者:王向平,潘阳林, 郭学刚  点击次数:1642次  下载次数:299次

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【摘要】:作为一项成熟应用于胆胰疾病的高级内镜诊疗技术,经内镜逆行胰胆管造影(ERCP)近几年来在治疗理念和技术方面有了一些新的发展。对ERCP的若干进展进行了阐述,主要包括:运用胰管支架、非甾体抗炎类药物及大量水化预防术后胰腺炎, 覆膜金属支架用于治疗良性胆管狭窄,恶性胆管狭窄的腔内射频消融治疗,体外冲击波碎石术和覆膜金属支架治疗慢性胰腺炎,经口胆道镜应用于胆管狭窄定性诊断和巨大难治性结石,困难插管的定义和预切开技术的时机以及胃肠道重建术后ERCP。
【Abstract】:Endoscopic retrograde cholangiopancreatography (ERCP) is a well-established advanced endoscopic technique for the diagnosis and treatment of pancreatobiliary diseases. New advances have been made in the treatment concept and techniques of ERCP in recent years. This article elaborates on the recent advances in ERCP, including the application of pancreatic duct stent, non-steroidal anti-inflammatory drugs, and aggressive hydration to prevent postoperative pancreatitis, covered metal stent for the treatment of benign bile duct stenosis, intraluminal radiofrequency ablation for malignant bile duct stenosis, extracorporeal shockwave lithotripsy and covered metal stent for the treatment of chronic pancreatitis, peroral choledochoscopy for qualitative diagnosis of bile duct stenosis and huge refractory stones, definition of difficult intubation, timing of pre-cut technique, and ERCP after gastrointestinal reconstruction.
【关键字】:胰胆管造影术, 内窥镜逆行; 经口胆管镜; 胆管括约肌预切; 胰腺炎; 胆管狭窄
【Key words】:cholangiopancreatography, endoscopic retrograde; per-oral cholangioscopy; precut sphincterotomy; pancreatitis; biliary stricture
【引证本文】:WANG XP, PAN YL, GUO XG. Advances in endoscopic retrograde cholangiopancreatography[J]. J Clin Hepatol, 2018, 34(3): 473-481. (in Chinese)
王向平, 潘阳林, 郭学刚. 经内镜逆行胰胆管造影术的若干进展[J]. 临床肝胆病杂志, 2018, 34(3): 473-481.

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