困难胆总管结石的内镜治疗进展

冯拥璞; 高野; 辛磊; 李兆申

doi:10.3969/j.issn.1001-5256.2021.01.051

困难胆总管结石的内镜治疗进展

DOI: 10.3969/j.issn.1001-5256.2021.01.051

上海长海医院消化内科，上海 200433

基金项目:

上海市科委医学引导类项目 (17411971500)

作者贡献声明：冯拥璞、高野负责调研整理文献，起草论文；辛磊负责提出研究选题，指导撰写文章并最终定稿。李兆申负责指导撰写文章并最终定稿。

详细信息

作者简介:
冯拥璞(1996—)，男，主要从事消化病学相关研究

通信作者:
李兆申，zhaoshen-li@hotmail.com

中图分类号: R575.7
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- 文章访问数: 886
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- 被引次数: 0
出版历程
- 收稿日期: 2020-05-25
- 录用日期: 2020-08-31
- 出版日期: 2021-01-20

Advances in endoscopic therapy for difficult common bile duct stones

Department of Gastroenterology, Changhai Hospital of Shanghai, Shanghai 200433, China

摘要

摘要: 胆总管结石是一种常见的胆道疾病，首选治疗方式为内镜治疗，但部分胆总管结石难以通过常规内镜治疗清除，被称为困难胆总管结石。困难胆总管结石治疗方法包括内镜下乳头大球囊扩张术、机械碎石术、经口胆道镜辅助碎石和体外冲击波碎石等。就上述技术治疗困难胆总管结石的适应证、临床疗效和不良事件等进展作一综述。
- 胆总管结石病 /
- 内窥镜检查, 消化系统 /
- 治疗学
Abstract: Common bile duct stones (CBDSs) are a common biliary tract disease, and endoscopic therapy is the first-line treatment modality for this disease; however, some CBDSs are difficult to remove by conventional endoscopic techniques and are thus called difficult CBDSs. Therapies for difficult CBDSs include endoscopic papillary large balloon dilation, mechanical lithotripsy, choledochoscopy-assisted lithotripsy, and extracorporeal shockwave lithotripsy. This article reviews the advances in the above mentioned techniques for the treatment of difficult CBDSs, including indications, clinical effect, and adverse events.
- Choledocholithiasis /
- Endoscopy, Digestive System /
- Therapeutics

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参考文献(50)

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