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ERCP在医源性胆道损伤治疗中的价值

周文策 张辉 李汛

中国实用外科杂志2017,Vol.37Issue(8):861-866,6.
中国实用外科杂志2017,Vol.37Issue(8):861-866,6.DOI:10.19538/j.cjps.issn1005-2208.2017.08.08

ERCP在医源性胆道损伤治疗中的价值

Value of ERCP in the treatment of iatrogenic bile duct injury

周文策 1张辉 1李汛1

作者信息

  • 1. 兰州大学第一医院普外二科 兰州大学第一医院ERCP诊疗中心 甘肃省肝胆胰外科研究所 甘肃省细胞治疗与再生医学重点实验室,甘肃兰州 730000
  • 折叠

摘要

Abstract

It happens clinically that bile duct injury may be the result of biliary operations, of which laparoscopic cholecystectomy, liver transplantation and biliary reconstruction are the most common. There are mainly two pathological types of bile duct injury, namely bile leakage and stenosis of bile duct, and sometimes they exist in combination. The clinical treatment of bile duct injury is difficult for doctors, and whether the treatment is given in a proper timing and proper way could affect the prognosis of bile duct injury patients. Therefore, bile duct injury should be treated individually. Endoscopic retrograde cholangiopancreatography(ERCP), due to its advantages of being minimally invasive,well effective, and repeatable, has become the initial and preferred therapeutic schemes in treating bile duct injury.However, most patients need to be treated repeatedly to achieve an ideal effect. For some patients not receiving good curative effect, ERCP can help to further clarify the degree of injury, and create favorable conditions for further deterministic surgical treatment.

关键词

内镜逆行胰胆管造影/胆道损伤/胆漏/胆道狭窄

Key words

endoscopic retrograde cholangiopancreatography/bile duct injury/bile leakage/stenosis of bile duct

分类

医药卫生

引用本文复制引用

周文策,张辉,李汛..ERCP在医源性胆道损伤治疗中的价值[J].中国实用外科杂志,2017,37(8):861-866,6.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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