良性胆管狭窄的内镜诊疗现状  

Current status of endoscopic diagnosis and treatment of benign biliary stricture

作　　者：原文聪 何桥 王志鑫[1,2] 樊海宁 王海久[1,2] 任宾 任利[1,2] YUAN Wencong;HE Qiao;WANG Zhixin;FAN Haining;WANG Haijiu;REN Bin;REN Li(Department of Hepatopancreatobiliary Surgery,Qinghai University Affiliated Hospital,Xining 810001,China;Qinghai Province Key Laboratory of Hydatid Disease Research,Qinghai 810001,China)

机构地区：[1]青海大学附属医院肝胆胰外科,西宁810001 [2]青海省包虫病研究重点实验室,西宁810001

出　　处：《临床肝胆病杂志》2021年第11期2737-2741,共5页Journal of Clinical Hepatology

基　　金：国家重点研发计划项目(2017YFC0909900);青海省科技厅项目(2020-ZJ-Y01)。

摘　　要：良性胆管狭窄(BBS)指由一系列非恶性肿瘤疾病引起的胆管完全性或不完全性狭窄。其病因复杂多样,未充分治疗的BBS甚至会出现严重并发症。目前临床上使用的诊断方法有影像学、内镜逆行胰胆管造影、超声内镜、胆道镜等,治疗上有球囊扩张、支架置入、经皮经肝胆管引流术、手术治疗等措施。目前通过内镜下诊疗BBS成为首选方法,然而目前BBS尚无明确分型,需进一步探究。通过查阅国内外相关文献资料,重点对BBS内镜下诊断及按分型治疗相关问题作一综述。Benign biliary stricture(BBS)refers to complete or incomplete stricture of the biliary tract caused by a series of non-malignant diseases.BBS often has complex and diverse etiologies,and severe complications may occur if it is not adequately treated.Diagnostic methods currently used in clinical practice include imaging,endoscopic retrograde cholangiopancreatography,endoscopic ultrasonography,and choledochoscopy,and treatment methods include balloon dilatation,stent implantation,percutaneous transhepatic biliary drainage,and surgical treatment.At present,endoscopic diagnosis and treatment of BBS has become the preferred method.However,there is still no clear classification of BBS,which needs further investigation.By consulting related literature in China and globally,this article summarizes the issues associated with the endoscopic diagnosis and treatment of BBS.

关 键 词：胆管疾病 内窥镜检查 超声检查 诊断 治疗学 

分 类 号：R657.46[医药卫生—外科学]