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中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (05) : 585 -588. doi: 10.3877/cma.j.issn.2095-3232.2023.05.022

所属专题: 综述

综述

胆总管结石微创治疗进展
张天献, 吕云福, 郑进方()   
  1. 570311 海口,海南省人民医院(海南医学院附属海南医院)肝胆外科
  • 收稿日期:2023-06-06 出版日期:2023-10-10
  • 通信作者: 郑进方
  • 基金资助:
    2020年度海南省院士创新平台科研专项项目(YSPTZX202005)

Progress of minimally invasive treatments for choledocholithiasis

Tianxian Zhang, Yunfu Lyu, Jinfang Zheng()   

  • Received:2023-06-06 Published:2023-10-10
  • Corresponding author: Jinfang Zheng
引用本文:

张天献, 吕云福, 郑进方. 胆总管结石微创治疗进展[J/OL]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 585-588.

Tianxian Zhang, Yunfu Lyu, Jinfang Zheng. Progress of minimally invasive treatments for choledocholithiasis[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 585-588.

胆总管结石是指存在于胆总管内的结石,常合并胆囊结石,发病率10%~20%[1]。胆总管结石如能顺利地进入十二指肠,可能不会引起严重的临床症状。如果结石堵塞胆总管,尤其形成结石嵌顿,导致胆管阻塞,则会出现继发性疾病,如梗阻性黄疸、急性化脓性胆管炎、急性胰腺炎,甚至胆汁性肝硬化和肝衰竭,此时需要外科手术干预[2]。随着微创概念普及和现代内镜及腹腔镜技术的不断发展,胆总管结石治疗的选择越来越多。微创治疗具有创伤小、恢复快、并发症少等优点,愈加被外科医师及患者接受和认可。面对胆总管结石多种微创治疗方法,如何选择合适的治疗方式往往困惑着临床医师。本文将对胆总管结石的微创治疗方法选择进行综述,旨在为临床应用提供参考。

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