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中华肝脏外科手术学电子杂志 doi: 10.3877/cma.j.issn.2095-3232.2024991

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胆道良性疾病诊疗策略
王秋生1,†()   
  1. 1. 100044　北京大学人民医院普通外科；102206　北京大学国际医院肝胆外科
  • 收稿日期:2024-06-24
  • 通信作者: 王秋生

Diagnosis and treatment strategy for benign biliary diseases

Qiusheng Wang1,†()   

  1. 1. Department of General Surgery, Peking University People's Hospital, Beijing 100044, China; Department of Hepatobiliary Surgery, Peking University International Hospital, Beijing 102206, China
  • Received:2024-06-24
  • Corresponding author: Qiusheng Wang
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王秋生. 胆道良性疾病诊疗策略[J]. 中华肝脏外科手术学电子杂志, doi: 10.3877/cma.j.issn.2095-3232.2024991.

Qiusheng Wang. Diagnosis and treatment strategy for benign biliary diseases[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), doi: 10.3877/cma.j.issn.2095-3232.2024991.

胆囊结石、胆囊息肉、胆囊炎、胆管结石、胆管囊肿等胆道常见多发病是普通外科医师尤其是胆道外科医生必修的基础课。在诸多诊疗程序中凝练诊疗策略是其关键所在，不仅要在诊断和鉴别诊断方面从局部到毗邻乃至全身情况明确疾病的进展程度、波及范围，而且要在患者承受力及诊疗团队医疗支撑力方面综合考量权衡利弊后提出清晰明确的优选、次选及基础诊疗方案。

关键词: 胆结石, 胆管结石, 胆囊结石, 胆囊息肉, 胆囊炎, 胆管囊肿, 诊断, 治疗

Gallbladder stones, gallbladder polyps, cholecystitis, cholelithiasis, choledochal cysts and other common and frequently-occurring biliary diseases are compulsory knowledge for physicians from Department of General Surgery, especially those from Department of Biliary Surgery. Screening appropriate diagnosis and treatment strategy is the key in multiple diagnosis and treatment procedures. It is not only necessary to accurately assess the degree of progression and the range of diseases from local to adjacent and even the whole body in diagnosis and differential diagnosis, but also to determine the optimal, secondary and basic diagnosis and treatment regimens after comprehensively considering the advantages and disadvantages in terms of patient tolerance and medical support from the diagnosis and treatment team.

Key words: Cholelithiasis, Bile duct stone, Gallstone, Polypoid lesions of gallbladder, Cholecystitis, Choledochal cyst, Diagnosis, Treatment
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