急性化脓性胆管炎合并胆总管结石的内镜治疗

田雯; 周中银

doi:10.3969/j.issn.1001-5256.2019.12.042

急性化脓性胆管炎合并胆总管结石的内镜治疗

DOI: 10.3969/j.issn.1001-5256.2019.12.042

田雯,
周中银

武汉大学人民医院消化内科消化系统疾病湖北省重点实验室

基金项目:

湖北省自然科学基金项目(2011CHB025)；湖北省公益性项目(2013BKB013)；

详细信息

中图分类号: R657.4
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出版历程
- 收稿日期: 2019-08-12
- 出版日期: 2019-12-20

Endoscopic therapy for acute suppurative cholangitis with common bile duct stones

Department of Gastroenterology,Renmin Hospital of Wuhan University,Hubei Key Laboratory of Digestive System Diseases

Research funding:

摘要

摘要: 急性化脓性胆管炎(ASC)是因细菌感染和胆道梗阻引起的急性胆道感染性疾病。胆道梗阻最常见的原因是胆总管结石。因其起病急聚、进展迅速、并发症多、病死率高的特点,引起临床普遍重视。ASC的治疗包括抗感染、解除梗阻两部分。其中,尽早解除梗阻是治疗的关键。而内镜下治疗一直被认为是解除梗阻的首选,随着医疗技术的发展,各种新型内镜技术逐渐应用于ASC的治疗当中,成为手术医师和患者的新选择。基于不同治疗技术各有其优点及不足,对胆总管结石引起的ASC的内镜治疗作一综述。
- 胆管炎 /
- 胆石 /
- 胰胆管造影术,内窥镜逆行 /
- 腔内超声检查 /
- 碎石术,激光 /
- 气囊小肠镜检查
Abstract: Acute suppurative cholangitis( ASC) is an acute infectious disease of the biliary tract caused by bacterial infection and biliary obstruction. Common bile duct stone is the most common cause of biliary obstruction. Due to the characteristics of rapid onset,rapid progress,various complications,and high mortality of ASC,it has attracted more and more attention in clinical practice. The treatment of ASC includes anti-infective therapy and relief of obstruction,and early relief of obstruction is the key to successful treatment. Endoscopic therapy has long been regarded as the first choice for the relief of obstruction,and with the development of medical technology,various new endoscopic techniques are gradually applied in the treatment of ASC and have thus become the new choices for surgeons and patients. With reference to the advantages and disadvantages of different treatment techniques,this article reviews the endoscopic therapies for ASC caused by common bile duct stones.
- cholangitis /
- gallstones /
- cholangiopancreatography,endoscopic retrograde /
- endosonography /
- lithotripsy,laser /
- balloon enteroscopy

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参考文献(31)

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