经口胆道镜超级微创诊断术中不明原因胆道狭窄(IBS)病变性质鉴别新标准  

A new criterion for the differential diagnosis of IBS during the peroral cholangioscopy super minimally invasive examination technique

作　　者：张文刚 柴宁莉[1] 令狐恩强[1] Zhang Wengang;Chai Ningli;Linghu Enqiang(Department of Gastroenterology,The First Medical Center of PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心消化内科医学部,北京100853

出　　处：《中华胃肠内镜电子杂志》2023年第1期11-13,共3页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

基　　金：国家十四五重点研发计划项目(2022YFC2503600)。

摘　　要：准确判断不明原因胆道狭窄(IBS)的病变性质在临床工作中具有一定挑战性,同时对于后续临床决策十分重要。与单纯经内镜逆行胰胆管造影术(ERCP)相比,经口胆道镜超级微创诊断术可以对胆管内病灶直视观察,进一步提高了诊断准确性。然而,受限于图像质量等原因,目前存在的IBS鉴别标准的准确性有待提高。本研究借助近年来经口胆道镜图像质量逐步高清化的契机,归纳提出《经口胆道镜超级微创诊断术中IBS病变性质鉴别新标准》,旨在进一步提高IBS的诊断准确性。To date,the accurate diagnosis of indeterminate biliary lesions(IBS)presents a diagnostic challenge in differentiating neoplastic and benign lesions.However,the accurate diagnosis of IBS lesions has significant implications for the treatment and management of these lesions.Super minimally invasive cholangioscopy examination allows for direct visualization of biliary lesions and has been shown to improve diagnostic accuracy when compared with ERCP alone.However,visual criteria to make an accurate diagnosis for IBS remains limited because of the image quality.Recently,the image quality of peroral cholangioscope has improved significantly,and thus we proposed a new visual criteria for IBS in order to further increase the diagnostic accuracy of IBS.

关 键 词：不明原因胆道狭窄 胆道镜 新标准 

分 类 号：R575[医药卫生—消化系统]