恶性胆道梗阻行术前胆道引流的引流方式的研究进展  

Advances in the Drainage Methods of Preoperative Biliary Drainage for Malignant Biliary Obstruction

作　　者：袁加俊 杜常杰 李金政[1] 

机构地区：[1]重庆医科大学附属第二医院肝胆外科,重庆

出　　处：《临床医学进展》2024年第7期1420-1429,共10页Advances in Clinical Medicine

摘　　要：恶性胆道梗阻是由胆胰系统恶性肿瘤压迫胆管引起胆汁淤积导致梗阻性黄疸等全身症状的一类疾病。长期的高胆红素血症会对患者带来不良影响,并可能影响手术结果。术前胆道引流是指胆胰系统恶性肿瘤行根治性手术前需进行的一项手术或操作,以缓解胆道梗阻、降低血清总胆红素,并改善手术预后。术前胆道引流的具体方式多样,具体选择哪一种引流方式目前尚无统一的标准。本文对目前恶性胆道梗阻行术前胆道引流的引流方式的研究进展进行综述。Malignant biliary obstruction denotes a pathological state induced by the compression of bile ducts owing to malignancies within the biliary-pancreatic system, precipitating bile stasis and systemic manifestations such as obstructive jaundice. Prolonged hyperbilirubinemia can engender deleterious consequences for patients and potentially compromise surgical outcomes. Preoperative biliary drainage denotes a surgical procedure or intervention needed prior to radical surgery for malignancies within the biliary-pancreatic system. Its objective is to alleviate biliary obstruction, mitigate serum total bilirubin levels, and ameliorate surgical prognoses. The specific modalities of preoperative biliary drainage are diverse, and currently, there exists no standardized criterion for the selection of a particular approach. This article offers a comprehensive overview of the research advancements concerning the drainage methodologies employed in preoperative biliary drainage for malignant biliary obstruction.

关 键 词：恶性胆道梗阻 术前胆道引流 金属支架 超声内镜 

分 类 号：R65[医药卫生—外科学]