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  • Online:2020-11-01 Published:2020-11-23

胆源性胰腺炎诊治现状与进展

杨尹默谢学海   

  1. 北京大学第一医院普通外科,北京100034

Abstract:

Status and progress of the diagnosis and treatment of biliary pancreatitis        YANG Yin-mo, XIE Xue-hai. Department of General Surgery, Peking University First Hospital, Beijing 100034, China
Corresponding author:YANG Yin-mo, E-mail:yangyinmo@263.net
Abstract    With the update and progress of minimally invasive surgical concept, gastrointestinal endoscopy and surgical techniques, the diagnosis and treatment mode of biliary pancreatitis has changed a lot. Endoscopic sphincterotomy is the preferred method of the etiological treatment of biliary pancreatitis. Early diagnosis and timely treatment of the stones in the gallbladder and biliary tract are an effective method for prevention of outbreak and recurrence, However, the indications, timing and surgical mode selection of endoscopic or surgical intervention for acute biliary pancreatitis still remain controversial.

Key words: biliary pancreatitis; , endoscopic treatment, surgical treatment

摘要: 随着微创外科理念、消化内镜及手术技术的更新与进步,胆源性胰腺炎的诊治模式发生了很大改变。内镜十二指肠乳头括约肌切开取石是胆源性胰腺炎病因治疗的首选方法;早期识别并及时处理胆囊及胆管结石是预防胆源性胰腺炎首发及复发的有效手段。胆源性胰腺炎在内镜或手术干预的指征、时机和方式等方面仍存争议。

关键词: 胆源性胰腺炎, 内镜治疗, 外科手术