儿童胆总管结石并扩张的内镜诊治进展  

Progress in endoscopic diagnosis and treatment of common bile duct stones and dilation in children

作　　者：李文海 汪昕[1] 杨虎[1] 郭宏溪 杨俊[1] 卞红强[1] LI Wenhai;WANG Xin;YANG Hu(Department of General Surgery,Wuhan Children’s Hospital,Wuhan Maternal and Child Healthcare Hospital,Tongji Medical College,Huazhong University of Science&Technology,Wuhan 430014,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院普外科,430014

出　　处：《临床外科杂志》2023年第5期490-493,共4页Journal of Clinical Surgery

摘　　要：胆总管结石(common bile duct stones CBDS)成人多见,儿童相对少见。随着生活方式变化及诊断技术提高,儿童发病率有所上升。胆总管结石往往并胆总管扩张,成人治疗方式包括开腹手术、腹腔镜手术及内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography ERCP)。儿童胆总管结石并扩张达到一定程度,为避免扩张胆管反复炎症、甚至癌变,多认为需根治手术。随着儿童ERCP的开展,部分儿童胆总管结石并扩张经ERCP治疗,扩张得到一定缓解。我们对儿童胆总管结石合并胆总管扩张的诊治方式进行综述。Common Bile Ducts(CBDS),also called choledocholithiasis,is more common in adults than in children.The incidence of children increased with the change of life style and the improvement of diagnostic techniques.Choledocholithiasis is often associated with common bile duct dilatation.Adult treatment includes laparotomy,laparoscopic and endoscopic retrograde cholangiopancreatography(ERCP).In order to avoid repeated inflammation and canceration of dilated bile duct,it is considered that choledocholithiasis and dilatation to a certain extent in children need radical operation.In recent years,with the development of ERCP in children,choledocholithiasis and dilatation have been relieved by ERCP treatment.In order to provide some reference for selecting appropriate treatment methods and exploring individualized treatment,this paper reviews the diagnosis and treatment of choledocholithiasis complicated with choledochal dilatation in children.

关 键 词：儿童 胆总管结石 胆总管扩张 内镜逆行胰胆管造影 

分 类 号：R726.5[医药卫生—儿科]