医源性胆管狭窄的内镜诊治及评价  

Endoscopic diagnosis,treatment and evaluation of iatrogenic biliary stricture

作　　者：张诚 杨玉龙 Zhang Cheng;Yang Yulong(Cholelithiasis Center of Tongji University Affiliated Shanghai East Hospital,Institute of Cholelithiasis,Tongji University School of Medicine,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院胆石病中心,同济大学医学院胆石病研究所,上海200120

出　　处：《中华医学杂志》2023年第36期2833-2836,共4页National Medical Journal of China

基　　金：上海市浦东新区卫生系统重点专科建设项目(PWZzk2022-17);浦东新区临床特色学科基金(PWYts2021-06);上海市东方医院临床研究项目(DFLC2022019)

摘　　要：医源性胆管狭窄是胆道术后的一种严重并发症,可引起胆管炎、胆管结石、胆汁淤积性肝硬化,甚至肝功能衰竭。传统外科手术总体效果令人满意,但是也存在创伤大、手术难度高及患者接受度差等不足。随着内镜微创技术的发展,胆道镜和十二指肠镜已成为医源性胆管狭窄的重要治疗手段,具有创伤小、安全性高、可重复性强等优点。如何充分发挥内镜治疗的优势,提高狭窄治疗的成功率并降低复发率,仍是值得探讨的议题。Iatrogenic biliary stricture is a serious complication after biliary surgery.It can cause recurrent cholangitis,bile duct stones,cholestatic cirrhosis,and even liver failure.The overall effect of traditional surgery is satisfactory,but there are also shortcomings such as large trauma,high difficulty of surgery and poor acceptance of patients.With the development of endoscopic minimally invasive technology,choledochoscopy and duodenoscopy have become important treatment methods for iatrogenic biliary stricture,with the advantages of small trauma,high safety and strong repeatability.How to give full play to the advantages of endoscopic therapy,improve the success rate of stenosis treatment and reduce the recurrence rate is still a topic worthy of discussion.

关 键 词：胆管狭窄 胆管损伤 医源性 内镜 并发症 

分 类 号：R575.6[医药卫生—消化系统]