经内镜逆行胰胆管造影术后消化道穿孔的危险因素及诊疗策略

赵文玉; 傅燕; 段亚娇; 唐娟; 倪静

doi:10.12449/JCH250329

经内镜逆行胰胆管造影术后消化道穿孔的危险因素及诊疗策略

DOI: 10.12449/JCH250329

昆明医科大学第二附属医院消化内科，昆明 650101

利益冲突声明：本文不存在任何利益冲突。

作者贡献声明：赵文玉负责课题设计，拟定写作思路，撰写论文；段亚娇、唐娟负责修改论文；倪静负责文献搜集及分析；傅燕负责指导撰写文章并最后定稿。

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通信作者:
傅燕， ky_fuyan@163.com （ORCID： 0000-0001-6955-0199）

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出版历程
- 收稿日期: 2024-06-29
- 录用日期: 2024-08-08
- 出版日期: 2025-03-25

Risk factors， diagnosis and treatment of perforation after endoscopic retrograde cholangiopancreatography

Department of Gastroenterology，The Second Affiliated Hospital of Kunming Medical University，Kunming 650101，China

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Corresponding author: FU Yan， ky_fuyan@163.com （ORCID： 0000-0001-6955-0199）

摘要

摘要: 经过50年的发展，内镜逆行胰胆管造影（ERCP）目前已经成为胆胰管疾病的首选诊疗手段，但其术后发生胰腺炎、出血、穿孔等主要并发症仍是临床面临的一大难题，其中术后消化道穿孔死亡风险极高。因此，探究ERCP术后穿孔的相关危险因素，及时诊断穿孔，制订精准防治措施至关重要。本文总结了ERCP术后穿孔的相关危险因素及诊疗措施。
- 胰胆管造影术，内窥镜逆行 /
- 危险因素 /
- 诊断 /
- 治疗学
Abstract: After 50 years of clinical development， endoscopic retrograde cholangiopancreatography （ERCP） has become the preferred method for the clinical diagnosis and treatment of cholangio-pancreatic duct diseases； however， the major postoperative complications of ERCP， such as pancreatitis， hemorrhage， and perforation， are still a difficult issue faced by clinicians， and postoperative perforation is associated with an extremely high risk of death. Therefore， it is very important to explore the risk factors for perforation after ERCP， make a definite diagnosis of perforation in a timely manner， and formulate precise prevention and treatment measures. By reviewing a large number of articles， this article summarizes the influencing factors for perforation after ERCP and related diagnosis and treatment measures.
- Cholangiopancreatography， Endoscopic Retrograde /
- Risk Factors /
- Diagnosis /
- Therapeutics

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参考文献(68)

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