迟发性医源性胆道损伤的内镜外科治疗策略  

Endoscopic surgery strategies of delayed iatrogenic bile duct injury

作　　者：李汛[1] 韩恒通 岳平[1] Li Xun;Han Hengtong;Yue Ping(Department of General Surgery,the First Hospital of Lanzhou University,Lanzhou 730030,China;The First School of Clinical Medicine,Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第一医院普通外科,兰州730030 [2]兰州大学第一临床医学院,兰州730030

出　　处：《中华消化外科杂志》2022年第7期866-872,共7页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金地区项目(82060119);甘肃省省级重点人才项目(甘组通字[2020]9号)。

摘　　要：医源性胆道损伤的治疗较为复杂,尤其是迟发性医源性胆道损伤,其治疗时机及治疗措施的把握至关重要。内镜外科治疗、介入治疗及外科手术均发挥重要作用。内镜外科治疗因其创伤小、患者恢复快、手术时间短、疗效确切等优势,已成为医源性胆道损伤的主要治疗选择。且内镜外科治疗可为二次胆道修复手术创造机会与条件,也可以控制修复术后并发症的发生。随着内镜技术的进一步普及和应用,影像学三维重建技术及可视化分析等技术的发展,内镜外科治疗必将成为迟发性医源性胆道损伤的主要治疗方法。The treatment of iatrogenic bile duct injury is complex,especially for delayed iatrogenic bile duct injury,and the timing and treatment measures are crucial.Endoscopi t,interventional treatment and surgery all play important roles.Endoscopic surgery treatment has become the main choice for iatrogenic bile duct injury because of its advantages of small trauma,fast recovery,short operation time and precise efficacy,etc.At the same time,endoscopic surgery treatment can create opportunities and conditions for secondary bile duct repair surgery,and can also control the occurrence of post‐repair complications.With the further populari-zation and application of endoscopic technology,the development of imaging three-dimensional reconstruction technology and visualization analysis,endoscopic surgery treatment will definitely become the main treatment for delayed iatrogenic bile duct injury.

关 键 词：胆道损伤 迟发性 医源性 内镜治疗 内镜下逆行胰胆管造影 

分 类 号：R657.4[医药卫生—外科学]