超声内镜引导下胆管引流方案的选择与技术要点  

Scheme selection and technical key points of endoscopic ultrasound-guided biliary drainage

作　　者：张立超[1] 张卫 连昆 侯森林[1] ZHANG Li-chao;ZHANG Wei;LIAN Kun;HOU Sen-lin(Department of Biliopancreatic Endoscopic Surgerg,the Second Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第二医院胆胰内镜外科,河北石家庄050000

出　　处：《中国实用内科杂志》2025年第1期17-27,共11页Chinese Journal of Practical Internal Medicine

基　　金：河北省自然科学基金生物医药联合基金重点项目(H2020206514)。

摘　　要：超声内镜引导下胆管穿刺引流(endoscopic ultrasound-guided biliary drainage,EUS-BD)至今已有二十余年历史,该技术为治疗胆道疾病的重要手段之一。因技术难度较大,目前开展此项技术的医疗单位较少,我们在参阅相关文献之后,结合我中心对于EUS-BD的实际临床应用中的心得体会,列举出EUS-BD常见引流方式,并对适应证和操作细节做出阐述,希望对EUS-BD技术的高质量发展起到促进作用。Endoscopic ultrasound-guided biliary drainage(EUS-BD)has a history of more than 20 years,and it is one of the important methods for the treatment of biliary diseases.Due to the difficulty of this technique,there are only a few medical institutions carrying out this technique.After reviewing the relevant literature,combined with the experience of our center in the actual clinical application of EUS-BD,we list the common drainage methods of EUS-BD,and expounds the indications and operation details,hoping to promote the high-quality development of EUS-BD technology.

关 键 词：超声内镜 胆管引流 肝胃吻合术 胆总管十二指肠吻合术 顺行支架植入术 会师技术 

分 类 号：R576[医药卫生—消化系统]