恶性梗阻性黄疸围手术期综合治疗研究进展  

Research progress on the comprehensive perioperative treatment of malignant obstructive jaundice

作　　者：王毓竑(综述) 杨大刚(审校)[1,2] Wang Yuhong;Yang Dagang(Guizhou Medical University,Guizhou Province,Guiyang 550000,China)

机构地区：[1]贵州医科大学,贵阳550000 [2]贵州医科大学附属医院肝胆外科

出　　处：《疑难病杂志》2024年第12期1519-1523,共5页Chinese Journal of Difficult and Complicated Cases

基　　金：贵州省科学技术基金(gzwkj2021-174)。

摘　　要：恶性梗阻性黄疸(MOJ)的手术治疗取决于梗阻的原因、位置和严重程度。近年来,MOJ的围手术期相关治疗备受关注。根据患者的情况,在围手术期内,术前通过胆道引流、内镜干预和支架置入来缓解梗阻,术后可以提供相应的肠内营养支持减少并发症、改善生活质量。当前,恶性梗阻性黄疸的相关治疗方案趋于多样化、综合治疗,根据患者的病程、梗阻位置、肿瘤的分期选择不同的治疗方案,文章就恶性梗阻性黄疸综合治疗的相关进展作一综述,并提出今后研究方向,为临床应用提供参考。Surgical treatment for malignant obstructive jaundice(MOJ)depends on the cause,location,and severity of the obstruction.In recent years,perioperative management of MOJ has garnered significant attention.Based on the patient's condition,preoperative biliary drainage,endoscopic interventions,and stent placement are used to relieve the obstruction during the perioperative period.Postoperatively,appropriate enteral nutritional support can be provided to reduce complications and improve the quality of life.At present,treatment strategies for malignant obstructive jaundice have become more diverse and comprehensive.Different treatment plans are selected based on the patient's disease course,obstruction location,and tumor staging.This article reviews the recent advances in the comprehensive treatment of malignant obstructive jaundice and proposes future research directions to provide references for clinical application.

关 键 词：恶性梗阻性黄疸 综合治疗 胆道引流 肠内营养 

分 类 号：R730.6[医药卫生—肿瘤]