SELECT中西医结合微创诊疗理念在胆胰肿瘤诊治中的应用  

Application of minimally invasive integrated traditional Chinese and Western medicine therapy based on the SELECT concept in the diagnosis and treatment of biliary and pancreatic tumors

作　　者：祁冰[1,2] 张桂信 赵亮[1,2] 尚东 QI Bing;ZHANG Guixin;ZHAO Liang;SHANG Dong(Department of General Surgery and Integrated Traditional Chinese and Western Medicine Therapy,The First Affiliated Hospital of Dalian Medical University,Dalian,Liaoning 116011,China;Liaoning Provincial Center for Integrated Traditional Chinese and Western Medicine Therapy for Biliary and Pancreatic Diseases,Dalian,Liaoning 116011,China)

机构地区：[1]大连医科大学附属第一医院中西医结合普外科,辽宁大连116011 [2]辽宁省胆胰疾病中西医结合治疗中心,辽宁大连116011

出　　处：《临床肝胆病杂志》2020年第12期2651-2654,共4页Journal of Clinical Hepatology

摘　　要：在消化系统恶性肿瘤中,相较于胃肠道肿瘤,胆胰肿瘤早期诊断更加困难,手术根治性切除的机会更少,患者存活时间更短,生活质量更差,其临床诊断和治疗一直是亟待解决的难题。SELECT理念是根据胆胰肿瘤的不同部位及特点,选用最优化的多镜组合(腹腔镜、胆道镜、十二指肠镜、胆胰子镜、超声内镜)微创治疗方式,围手术期结合中医药治疗,以期达到疾病的早期诊断、早期治疗,延长患者带瘤存活期,提高生活质量,力争实现治愈肿瘤的目标。Among digestive malignancies,compared with gastrointestinal tumors,biliary and pancreatic tumors are difficult to diagnose in the early stage and have fewer opportunities for radical surgical resection,with a shorter survival time and poorer quality of life,and the clinical diagnosis and treatment of such tumors remain a difficult issue that needs to be solved urgently in clinical practice.Based on the different locations and features of biliary and pancreatic tumors,the SELECT concept selects the optimal combination of minimally invasive endoscopies(laparoscopy,choledochoscopy,duodenoscopy,Spyglass,and endoscopic ultrasound)and applies traditional Chinese medicine treatment in the perioperative period,so as to achieve early diagnosis and treatment,prolong the survival time with tumor,improve quality of life,and strive to realize the goal of cure.

关 键 词：胆道肿瘤 胰腺肿瘤 SELECT理念 诊断 中西医结合疗法 最小侵入性外科手术 

分 类 号：R735.8[医药卫生—肿瘤] R735.9[医药卫生—临床医学]