文章摘要

经皮经肝胆道镜在胆肠吻合术后胆道疾病诊治中的应用 及研究进展

作者: 1张博, 1韩金岩, 1杨景旭, 1吴硕东
1 中国医科大学附属盛京医院 第二普通外科，辽宁 沈阳 110004
通讯: 吴硕东 Email: wushuodong@yahoo.com.cn
DOI: 10.3978/.2018.01.018

摘要

胆肠吻合术是胆道重建最常用的手术术式，广泛应用于胆管良恶性疾病引起的胆管阻塞的治疗。由于任何一种胆肠吻合术均破坏了人体正常的消化道解剖和生理结构，一旦此类患者再次出现胆道疾病，二次手术风险高、难度大且患者不易接受，给临床上处理带来了巨大挑战。近年来，微创技术的发展，特别是经皮经肝胆道镜（PTCS）的发展与成熟，为治疗此类疾病提供了一种安全、可行且有效的策略。笔者就PTCS在胆肠吻合术后的胆道疾病诊治中的应用及其研究进展进行系统综述。
关键词： 胆道疾病；胆管肠吻合术，肝；内窥镜；综述文献

Percutaneous transhepatic cholangioscopy in diagnosis and treatment of biliary tract diseases after cholangioenterostomy: application and research progress

Authors: 1ZHANG Bo, 1HAN Jinyan, 1YANG Jingxu, 1WU Shuodong
1 The Second Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China

CorrespondingAuthor:WU Shuodong Email: wushuodong@yahoo.com.cn

Abstract

Cholangioenterostomy is a most commonly used procedure for biliary reconstruction and widely used in treatment of biliary obstruction caused by benign and malignant biliary tract diseases. Because any type of cholangio-intestinal anastomosis will change the body's normal gastrointestinal anatomy and physiological structure, once biliary tract disease re-occurs in these patients, the repeated operation is dangerous, difficult and also unacceptable by them, which pose a great challenge in clinical practice. The development of minimally invasive technologies, especially the development and perfection of percutaneous transhepatic cholangioscopy (PTCS) in recent years provides a safe, feasible and effective strategy for dealing with such conditions. The authors present the application and research progress of PTCS in diagnosis and treatment of biliary tract diseases after cholangioenterostomy.
Keywords： Biliary Tract Diseases; Portoenterostomy Hepatic; Endoscopes; Review