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恶性状胆道阻塞的内镜治疗

Jakub Pietrzak¹, Adam Przybyłkowski¹

¹Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-091 Warsaw, Poland.

|December 23, 2023

概括

支架植入有效地缓解恶性状胆道阻塞 (MHBOs). 本综述涵盖了MHBO治疗的接入方法,支架类型和部署策略.

科学领域:

胃肠病学胃肠病学
干预性放射学干预性放射学
在瘤学瘤学.

背景情况:

恶性胆道阻塞 (MHBOs) 存在重大治疗挑战.
双-科莱特型III-IV阻塞需要有效的息干预措施.

研究的目的:

审查目前用于MHBO息治疗的支架植入技术.
提供可用的胆汁支架选项和未来前景的概述.

主要方法:

皮肤穿透肝胆道排水,内镜胆道排水和内声学引导胆道排水的综述.
对塑料支架,自扩张金属支架 (SEMS),完全覆盖的SEMS和放射性SEMS的分析.
检查单边和双边方法,包括支架内支架和支架逐支架的部署.

主要成果:

支架植入是对比斯穆特-科莱特型III-IVMHBO的关键息方法.
对于胆管支架,有各种接入路径,支架类型和部署方法可供使用.
该综述综合了管理恶性状胆道阻塞的当前做法.

结论:

支架植入提供恶性状胆道阻塞的有效缓解.
支架和替代息方法的持续进步对于改善患者的治疗结果至关重要.

关键词:

胆瘤是一种胆瘤.内镜胆道排水胆道排水内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.恶性状胆道阻塞胆道阻塞

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