首页|胆总管结石经内镜逆行胰胆管造影术后并发症及其多学科治疗研究进展

胆总管结石经内镜逆行胰胆管造影术后并发症及其多学科治疗研究进展

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胆总管结石是常见的消化系统疾病.结石嵌顿引起胆道梗阻继发胆管炎,出现腹痛、寒战高热和黄疸,甚至合并低血压和神经系统症状,严重时危及病人生命安全.经内镜逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography,ERCP)已逐步成为胆总管结石病人的首选治疗方案,与外科传统手术相比,具有更微创、明显缩短住院时间等优势.然而,ERCP作为侵入性内镜介入手术,不可避免的会有相关并发症发生.ERCP常见并发症包括术后急性胰腺炎、胆道感染、出血、穿孔等.早期发现并及时处理ERCP相关并发症是内镜医师争论的热门话题,也是病人获益的关键.该文对胆总管结石经ERCP术后常见并发症的发生率、相关危险因素及多学科预防治疗措施等方面进行了综述.
Research advances on complications and multidisciplinary treatments of choledocholithiasis after endoscopic retrograde cholangiopancreatography
Choledocholithiasis is a common gastrointestinal disease.Stone incarceration causes secondary cholangitis with biliary obstruction,abdominal pain,chills,high fever,jaundice,hypotension and some nervous system symptoms.It may endanger the life of patients in severe cases.ERCP has gradually become a preferred treatment for choledocholithiasis.As compared with traditional surgery,ERCP offers the advantages of greater mini-invasiveness and significantly shorter hospitalization stay.However,ERCP remains an invasive endoscopic intervention with such common complications as postoperative acute pancreatitis,biliary tract infection,hemorrhage and perforation.Early detection and timely treatment of ERCP-related complications are controversial among endoscopists and vital for patient benefits.This review focused upon common complications,incidence,related risk factors and multidisciplinary preventive and therapeutic measures of choledocholithiasis after ERCP.

CholedocholithiasisEndoscopic retrograde cholangiopancreatographyPostoperative complicationsRisk factors

哈力木拉提·吾布力卡斯木、阿布都喀哈尔·阿布都拉、段绍斌

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新疆医科大学第四附属医院普外一科,新疆 乌鲁木齐 830099

新疆医科大学附属中医医院普外一科,新疆 乌鲁木齐 830099

新疆维吾尔自治区中医药研究院,新疆 乌鲁木齐 830099

胆总管结石 经内镜逆行胰胆管造影术 术后并发症 危险因素

天山青年计划青年博士科技人才培养项目

2020Q088

2024

腹部外科
中华医学会武汉分会

腹部外科

CSTPCD
影响因子:0.615
ISSN:1003-5591
年,卷(期):2024.37(2)
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