术前减黄存在的争议与最新研究进展  

The Controversy and the Latest Research Progress of Preoperative Biliary Drainage

作　　者：吐尔地·阿不来提 段绍斌 

机构地区：[1]新疆医科大学第四临床医学院,新疆 乌鲁木齐

出　　处：《临床医学进展》2023年第10期16737-16741,共5页Advances in Clinical Medicine

摘　　要：肝内外胆管受到直接侵犯或压迫导致胆汁排除受阻,出现梗阻性黄疸,引起全身或局部临床表现,增加手术风险,影响患者预后。临床上,对于能通过手术或介入方法根治或缓解的肝门部肝管汇合部以下的肝外胆管梗阻,是否必要术前减黄,减黄指标及减黄方法的选择一直存在着争议。本文系统总结了梗阻性黄疸术前减黄意义、术前减黄指征、减黄方法的选择和最新研究进展,以促进在临床中对梗阻性黄疸的患者的临床干预。Direct invasion or compression of intrahepatic and extrahepatic bile duct leads to bile exclusion ob-struction and obstructive jaundice, which causes systemic or local clinical manifestations, increases the risk of operation and affects the prognosis of patients. Clinically, for the extrahepatic bile duct obstruction below the confluence of hepatic duct, which can be cured or relieved by operation or intervention, whether it is necessary to reduce jaundice before operation, the selection of jaundice reduction index and method has always been controversial. This paper systematically summarizes the significance of preoperative jaundice reduction, indications of preoperative jaundice reduction, selection of jaundice reduction methods and the latest research progress, in order to promote clini-cal intervention for patients with obstructive jaundice.

关 键 词：梗阻性黄疸 术前减黄 经皮经肝胆道引流 经内镜胆道引流术 经皮经肝胆囊穿刺引流术 

分 类 号：R65[医药卫生—外科学]