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门静脉高压性胆病的诊治进展

翁柠娜 李肖

引用本文:
Citation:

门静脉高压性胆病的诊治进展

DOI: 10.3969/j.issn.1001-5256.2014.07.035
基金项目: 

国家科学基金项目资助(81171444,81371656); 

详细信息
  • 中图分类号: R575.2

Advances in diagnosis and treatment of portal hypertensive biliopathy

Research funding: 

 

  • 摘要: 随着近年来对门静脉高压的深入研究,门静脉高压性胆病(PHB)也引起了越来越多的关注。简要的介绍了PHB的病理生理改变、临床表现及主要诊疗方式。PHB的发病机理尚未完全明确,目前推测可能与门静脉海绵状血管瘤的压迫与缺血等因素相关。磁共振胰胆管成像是PHB首选的诊断手段,目前认为无症状的PHB患者无须治疗,症状性的PHB患者的治疗应强调其个体化,治疗的重点应以降低门静脉压力及解除胆道梗阻为主。目前经颈静脉肝内门体分流术等已经成为症状性PHB的一线治疗方法。PHB在临床上并不多见,对于它的了解与认识尚须要更多的实践与研究。

     

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  • 收稿日期:  2013-11-04
  • 出版日期:  2014-07-20
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