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经乳头胆道引流术在内镜治疗胆总管结石中的应用进展

王奥 李宁

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Citation:

经乳头胆道引流术在内镜治疗胆总管结石中的应用进展

DOI: 10.3969/j.issn.1001-5256.2022.12.036
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:王奥负责检索文献,拟定论文思路、撰写论文;李宁负责指导、修改论文并最终定稿。
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    通信作者:

    李宁,ningli851023@sina.com

Application progress of transpapillary biliary drainage in endoscopic treatment of choledocholithiasis

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  • 摘要: 经乳头胆道引流术在胆总管结石及其并发症的内镜治疗中有着十分重要的作用,不同引流方式的益处及应用值得思考。归纳和总结了内镜鼻胆管引流术(ENBD)和内镜逆行胆道支架引流术(ERBD)在治疗不同病理状态下胆总管结石时的优势和劣势。多项研究证实,两种引流方式在治疗胆总管结石及其并发症中被证实同样安全、有效,ENBD在紧急胆道引流中发挥着重要作用,而ERBD在中长期处理难治性胆总管结石方面具有优势。指出在胆总管结石的内镜治疗策略及胆道引流方式不断变化的今天,小管径、猪尾型、可自行脱落或可降解的ERBD具有良好应用前景。

     

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  • 收稿日期:  2021-09-24
  • 录用日期:  2021-10-02
  • 出版日期:  2022-12-20
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