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胰腺疾病内镜诊疗的难点与进展
Difficulties and research advances in endoscopic management of pancreatic diseases
文章发布日期:2020年07月09日  来源:  作者:李兆申  点击次数:738次  下载次数:134次

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【摘要】:胰腺疾病主要包括急性胰腺炎、慢性胰腺炎、胰腺癌和胰腺囊肿等,在全球范围内发病率呈上升趋势,是人类健康的重要威胁。早期诊断,早期干预,延缓病情重症化、慢性化和恶性化趋势是胰腺疾病临床诊治的重点。近年来,经内镜逆行胰胆管造影、超声内镜及其相关技术的不断发展使胰腺疾病的诊断效率大大提高。内镜介入手术利用人体自然腔道,减少了对周围组织的损伤,目前已部分取代外科手术,成为治疗的首选。然而,胰腺疾病病情复杂,内镜诊疗方式以及干预时机的选择等问题仍未完全解决,是目前研究的热点和难点。拟就主要胰腺疾病内镜诊疗的难点与研究进展作一阐述。
【Abstract】:Pancreatic diseases mainly include acute pancreatitis, chronic pancreatitis, pancreatic cancer, and pancreatic cysts and greatly threaten human health, and the incidence rates of pancreatic diseases are increasing around the world. Early diagnosis and intervention and delaying severe exacerbation, chronicity, and malignant transformation of disease are the focus of clinical management of pancreatic diseases. In recent years, the development of endoscopic retrograde cholangiopancreatography, ultrasound endoscopy, and related technologies have greatly improved the diagnostic efficiency of pancreatic diseases. By using the natural cavity of the human body, endoscopic intervention reduces the unnecessary damage to the surrounding tissue and has partially replaced surgery to become the first choice for treatment. However, pancreatic diseases have complex conditions, and the problems in endoscopic diagnosis and treatment and intervention timing have not been solved and thus remain the hotspots and difficulties in current research. This article reviews the difficulties and research advances in endoscopic diagnosis and treatment of major pancreatic diseases.
【关键字】:胰腺疾病; 内窥镜检查; 诊断; 治疗学
【Key words】:pancreatic diseases; endoscopy; diagnosis; therapeutics
【引证本文】:LI ZS. Difficulties and research advances in endoscopic management of pancreatic diseases[J]. J Clin Hepatol, 2020, 36(8): 1681-1687. (in Chinese)
李兆申. 胰腺疾病内镜诊疗的难点与进展[J]. 临床肝胆病杂志, 2020, 36(8): 1681-1687.

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