医源性胆管损伤的内镜诊疗及其评价  

Evaluation of endoscope treatment in iatrogenic bile duct injury

作　　者：冯秋实[1] FENG Qiu-shi(Department of Hepatobiliary Surgery,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院肝胆外科,北京100034

出　　处：《中国实用外科杂志》2018年第9期1006-1009,共4页Chinese Journal of Practical Surgery

摘　　要：医源性胆管损伤处理不当,会造成严重后果,且经各种初期修复手术治疗后,部分病人后期仍可出现胆漏、胆道狭窄、反复胆道感染、形成胆道结石,最终导致胆汁性肝硬化。医源性胆管损伤的内镜治疗主要包括胆道镜和十二指肠镜治疗,具有微创、安全、有效的特点,是处理医源性胆管损伤的重要手段。正确选择相应的内镜治疗,掌握适应证、禁忌证,才能充分发挥内镜治疗的优势。Improper treatment of iatrogenic bile duct injury can cause serious consequences. After various initial repair surgery, some patients may still have biliary tract, biliary stricture, repeated biliary tract infection, biliary calculi, andeventually biliary cirrhosis. Endoscopic treatment of iatrogenic bile duct injury mainly includes choledochoscopy and duodenoscopy, which is minimally invasive, safe and effective, and is an important means to treat iatrogenic bile duct injury. Only by properly selecting the appropriate endoscopic treatment and mastering the indications and contraindications can give full play to the advantages of endoscopic treatment.

关 键 词：胆管损伤 内镜治疗 

分 类 号：R6[医药卫生—外科学]