医源性胆管损伤的治疗进展  

Advances in the treatment of iatrogenic bile duct injury

作　　者：古丽米拉·亚森江 吐尔干艾力·阿吉[1] GULIMILA·Yasenjiang;TUERGANAILI·Aji(Department of Hepatobiliary and Echinococcosis Surgery,Digestive and Vascular Surgery Center,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)

机构地区：[1]新疆医科大学第一附属医院消化血管中心肝胆包虫病外科,乌鲁木齐830054

出　　处：《临床肝胆病杂志》2023年第3期723-728,共6页Journal of Clinical Hepatology

基　　金：国家自然科学基金(81960377)。

摘　　要：医源性胆管损伤(IBDI)指由于治疗过程中医源性因素如外科手术或其他有创性诊疗操作意外造成的胆管损伤。随着外科手术及微创技术的日渐成熟,现关于胆管损伤的治疗方式包括内镜治疗、胆管空肠Roux-en-Y吻合术、胆管对端吻合术、肝切除术及肝移植术等。针对IBDI,选择合理及有效的治疗方式是目前胆道外科的重点与难点。通过系统性回顾目前有关IBDI治疗的文献,对IBDI不同治疗方式进一步分析及总结。Iatrogenic bile duct injury(IBDI)refers to bile duct injury accidentally caused by medical factors such as surgical operation or other invasive operations during treatment.With the gradual maturity of surgical operation and minimally invasive techniques,the treatment of bile duct injury now includes endoscopic treatment,bile duct jejunum Roux-en-Y anastomosis,bile duct end-to-end anastomosis,hepatectomy,and liver transplantation.For IBDI,the selection of reasonable and effective treatment methods is currently an important and difficult issue in biliary surgery.Through a systematic review of the literature on the treatment of IBDI,this article analyzes and summarizes the different treatment modalities for IBDI.

关 键 词：医源性胆管损伤 胰胆管造影术 内窥镜逆行 吻合术 Roux-en-Y 肝切除术 

分 类 号：R657.4[医药卫生—外科学]