内镜下逆行性胰胆管造影术及其相关技术在恶性胆管狭窄诊断中的应用进展  

Advances in ERCP and related techniques in the diagnosis of malignant biliary strictures

作　　者：王蒲雄志 于嵩[1] 陈巍[1] 戚大川 WANG-PU Xiongzhi;YU Song;CHEN Wei;QI Dachuan(Department of General Surgery,Shanghai 6th People’s Hospital,School of Medicine,Shanghai Jiao Tong University,Shanghai 200233,China;Department of General Surgery,Shanghai 4th People’s Hospital,Shanghai 200081,China)

机构地区：[1]上海交通大学医学院附属第六人民医院普外科,上海200233 [2]上海市第四人民医院普外科,上海200081

出　　处：《上海医药》2019年第23期12-15,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：胆管狭窄在临床上较为常见,其病因多样,良、恶性质的判断一直很困难。自内镜下逆行性胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)问世以来,ERCP及其相关技术已从最初用于胰胆管造影发展至如今融影像学、病理学诊断和植入支架引流、射频消融治疗等诊疗技术于一体,成为恶性胆道疾病诊治的最重要手段之一。本文概要介绍ERCP及其相关技术在胆道疾病诊治中的最新应用进展,同时探讨ERCP及其相关技术在恶性胆管狭窄诊断中的应用价值。Biliary stricture is a common clinical disease and its causes are diverse.The assessment of its benign or malignant properties has always been a controversial clinical problem.In recent years,endoscopic retrograde cholangiopancreatography(ERCP)has become one of the most important methods for the diagnosis and treatment of malignant biliary diseases,ranging from initial cholangiopancreatography to comprehensive diagnostic and therapeutic techniques such as fusion imaging,pathological diagnosis,stent drainage and radiofrequency ablation.This article reviews the latest progress in the application of ERCP technology in biliary tract diseases,and explores the application value of ERCP technology in the diagnosis of malignant biliary stricture.

关 键 词：内镜下逆行性胰胆管造影术 恶性胆管狭窄 诊断 

分 类 号：R575.7[医药卫生—消化系统] R445.9[医药卫生—内科学]