摘要
目的探讨内镜在胆道损伤诊断与治疗中的价值。方法通过Medline(1996-2004)光盘检索有关内镜诊断与治疗胆道损伤的文献。结果在胆道损伤诊断中,内镜逆行胰胆管造影术(ERCP)可以明确胆道损伤的部位及程度。在胆道损伤的治疗方面,各种内镜治疗方法的合理应用,对小范围的主胆管缺损、胆囊管残端漏、小范围的胆道狭窄等病变能获得较好的治疗效果,而主胆管横断、大范围胆道狭窄的内镜治疗效果较差。结论内镜是一种胆道损伤诊断与治疗的基本方法,在治疗方面,其适应证的把握是重要的。
[Objective]To Evaluation of the clinical value of endoscopy in diagnosis and treatment of bile duct injuries. Searching Medline (1996~2004) for articals on the using of endoscopy in diagnosis and treatment of bile duct injuries. Endoscopic retrograde cholangiopancreatography was a safe and feasible mode of diagnosis for patients presenting with suspected bile duct injuries, revealing the site and extent of the injuries. Moreover ,the outcome of endoscopic treatment of bile duct injuries was excellent. The modalities included balloon dilatation, sphincterotomy, stent placement or their various combinations. The indication for endoscopic treatment of bile duct injuries included patients with biliary leakage from cystic duct or major bile duct, partial laceration or strictures of the bile tracts. Patients with extensive structures or circumferential injuries of the bile ducts, however, should not be subjected to endoscopic means of management. [Conclusions] We suggest that endoscopy should be the primary modality of intervention for patients with bile duct injuries. The outcome is excellent if the patients are selected properly.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第4期377-380,共4页
China Journal of Endoscopy
关键词
内镜
胆道损伤
诊断
治疗
endoscopy
bile duct injuries
diagnosis
treatment
