PTBD与EUS-BD在恶性胆道梗阻患者ERCP失败后的应用进展  

Progress in the application of PTBD and EUS-BD after ERCP failure in patients with malignant biliary obstruction

作　　者：任茜雅 张健康[2] REN Xiya;ZHANG Jiankang(The First Clinical Medical College of Shanxi Medical University,Taiyuan 030001;Department of Gastroenterology,the First Hospital of Shanxi Medical University,China)

机构地区：[1]山西医科大学第一临床医学院,山西太原030001 [2]山西医科大学第一医院消化内科

出　　处：《胃肠病学和肝病学杂志》2023年第5期574-578,共5页Chinese Journal of Gastroenterology and Hepatology

摘　　要：恶性胆道梗阻(malignant biliary obstruction,MBO)是指因胆道内或胆道邻近部位的肿瘤病变压迫胆道引起胆汁排出受阻,因其外科手术干预率低,故选取姑息治疗为主,即实现胆道引流。内镜下逆行性胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)是实现胆道引流的标准方法,当其操作失败时,临床上多采用经皮肝穿刺胆道引流术和超声内镜引导下胆道引流术,本文将整理相关文献,对MBO患者ERCP失败后的两种胆道引流方法作一综述。Malignant biliary obstruction(MBO)refers to the obstruction of bile discharge caused by the compression of biliary tract by tumor lesions in the biliary tract or adjacent parts.Because of the low surgical intervention rate,palliative treatment is mainly selected,namely,biliary drainage.Endoscopic retrograde cholangiopancreatography(ERCP)is a standard method to achieve biliary drainage.When the operation fails,percutaneous transhepatic biliary drainage and endoscopic ultrasonography-guided biliary drainage are commonly used in clinical practice.This article would review the two drainage methods in patients with MBO after ERCP failure.

关 键 词：恶性胆道梗阻 内镜下逆行性胰胆管造影 经皮肝穿刺胆道引流术 超声内镜引导下胆道引流术 

分 类 号：R575.6[医药卫生—消化系统]