疑难病杂志2024,Vol.23Issue(12) :1519-1523.DOI:10.3969/j.issn.1671-6450.2024.12.021

恶性梗阻性黄疸围手术期综合治疗研究进展

Research progress on the comprehensive perioperative treatment of malignant obstructive jaundice

王毓竑 杨大刚
疑难病杂志2024,Vol.23Issue(12) :1519-1523.DOI:10.3969/j.issn.1671-6450.2024.12.021

恶性梗阻性黄疸围手术期综合治疗研究进展

Research progress on the comprehensive perioperative treatment of malignant obstructive jaundice

王毓竑 1杨大刚2
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作者信息

  • 1. 550000 贵阳,贵州医科大学;贵州医科大学附属医院肝胆外科
  • 2. 贵州医科大学附属医院肝胆外科
  • 折叠

摘要

恶性梗阻性黄疸(MOJ)的手术治疗取决于梗阻的原因、位置和严重程度.近年来,MOJ的围手术期相关治疗备受关注.根据患者的情况,在围手术期内,术前通过胆道引流、内镜干预和支架置入来缓解梗阻,术后可以提供相应的肠内营养支持减少并发症、改善生活质量.当前,恶性梗阻性黄疸的相关治疗方案趋于多样化、综合治疗,根据患者的病程、梗阻位置、肿瘤的分期选择不同的治疗方案,文章就恶性梗阻性黄疸综合治疗的相关进展作一综述,并提出今后研究方向,为临床应用提供参考.

Abstract

Surgical treatment for malignant obstructive jaundice(MOJ)depends on the cause,location,and severity of the obstruction.In recent years,perioperative management of MOJ has garnered significant attention.Based on the pa-tient's condition,preoperative biliary drainage,endoscopic interventions,and stent placement are used to relieve the ob-struction during the perioperative period.Postoperatively,appropriate enteral nutritional support can be provided to reduce complications and improve the quality of life.At present,treatment strategies for malignant obstructive jaundice have be-come more diverse and comprehensive.Different treatment plans are selected based on the patient's disease course,ob-struction location,and tumor staging.This article reviews the recent advances in the comprehensive treatment of malignant obstructive jaundice and proposes future research directions to provide references for clinical application.

关键词

恶性梗阻性黄疸/综合治疗/胆道引流/肠内营养

Key words

Malignant obstructive jaundice/Comprehensive treatment/Biliary drainage/Enteral nutrition

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出版年

2024
疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
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