肝外胆管梗阻的支架治疗研究进展  

Biliary stenting for treatment of extrahepatic bile duct obstruction

作　　者：梁运啸[1] 黄鹏宇[1] 农兵[1] 

机构地区：[1]广西壮族自治区人民医院消化科,广西壮族自治区南宁市530021

出　　处：《世界华人消化杂志》2017年第13期1173-1178,共6页World Chinese Journal of Digestology

摘　　要：胆管支架治疗肝外胆管梗阻已经是当前内镜下治疗的研究热点.肝外胆管梗阻的常见病因有:胆管结石、胆管慢性炎症狭窄、胆管恶性肿瘤、壶腹部肿瘤、肝门部胆管癌、慢性胰腺炎、胰头癌等.胆管支架治疗可以是恶性肿瘤的姑息性退黄治疗,也可以是外科手术前的暂时性退黄治疗或不宜手术患者的对症治疗.但是关于胆管支架治疗肝外梗阻目前国内未有一致意见的报道,统一标准的缺失使得临床的诊治工作仍面临重大的挑战.Biliary stenting for treatment of extrahepatic bile duct obstruction has attracted increasing attention in the field of therapeutic endoscopy.The common causes of extrahepatic bile duct obstruction are choledocholithiasis, chronic inflammatory stricture of the bile duct, malignant biliary tumors, ampullary tumors, hilar cholangiocarcinoma, chronic pancreatitis and pancreatic cancer. Bile duct stent therapy is a palliative therapy to reduce jaundice, a preoperative treatment for surgical patients or an option for patients who are not suitable for surgery. However, there is no consensus on biliary stent treatment for extrahepatic bile duct obstruction, which makes clinical diagnosis and treatment faced with great challenges.

关 键 词：胆管支架 肝外胆管梗阻 并发症 

分 类 号：R657.43[医药卫生—外科学]