Abstract: Value and evaluation of interventional therapy in diagnosis and treatment of biliary pancreatitis        WANG Jian, WANG Zhi-wei. Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
Corresponding author: WANG Zhi-wei, E-mail: zhiweiwang1981@sina.com
Abstract    With the development of the minimally invasive treatment technique, image-guided interventional therapy can be used to treat acute biliary pancreatitis(ABP) and its complications. Percutaneous transhepatic gallbladder drainage (PTGD) and percutaneous transhepatic gallbladder drainage（PTCD）can quickly relieve biliary pressure, drain bile and relieve symptoms. Percutaneous catheter drainage(PCD) can be used to drain the walled-off necrosis(WON). Angiography and embolization can be used to manage hemorrhage. Early enteral nutrition support with image-guided catheter placement is also one of the key steps in synthetical treatment.

Key words: acute biliary pancreatitis, intervention therapy

摘要： 随着对于疾病的不断认识及微创治疗技术的蓬勃发展，利用影像引导的介入治疗手段可以对急性胆源性胰腺炎（ABP）及其并发症进行治疗。利用经皮经肝胆囊及胆管穿刺［经皮经肝胆囊穿刺引流（PTGD）及经皮经肝穿刺胆道引流（PTCD）］可快速缓解胆道压力，引流胆汁，改善症状。利用经皮穿刺置管引流（PCD）可对包裹性坏死灶（WON）进行引流。血管造影及栓塞术可以处理出血性并发症。影像引导下放置营养管早期给予肠内营养（EN）支持也成为治疗的关键环节之一。

关键词: 胆源性胰腺炎, 介入治疗