[在慢性胰腺炎的诊断和治疗中使用干预性放射学和内镜技术]
A N Akinchits1, E I Abramyan1, A V Kitaeva1
1Volgograd State Medical University, Volgograd, Russia.
Khirurgiia
|November 25, 2024
概括
本综述涵盖了复杂慢性胰腺炎 (CP) 的诊断和治疗策略. 它强调成像,内镜和手术干预,强调个性化的多学科护理,以获得更好的患者结果.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 手术干预 手术干预
背景情况:
- 复杂的慢性胰腺炎 (CP) 通常会出现严重的症状和严重的并发症.
- 准确的诊断对于CP的有效管理至关重要.
研究的目的:
- 审查国际公认的复杂CP的诊断算法.
- 讨论干预性放射学和内镜手术在诊断和治疗中的作用.
- 评估这些方法与手术管理的整合.
主要方法:
- 对诊断成像技术的审查,包括超声波,内镜超声波,CT,MRI/MR胆道血管造形学 (MRCP) 和秘密刺激的MRCP.
- 讨论干预性放射学和内镜程序的囊排水,狭窄,石头,和胆道高血压.
- 对血管并发症的手术方法和内血管干预的分析.
主要成果:
- 图像成像模式对于评估早期CP表现的胰腺变化至关重要.
- 现代治疗包括排水,石,支架,内血管干预和手术.
- 内镜方法可以改善短期生活质量.
- 早期手术干预 (3年内) 有效地控制疼痛和胰腺功能不充分.
结论:
- 多学科的团队方法对于定制诊断和治疗策略至关重要.
- 考虑所有可用的干预措施的个性化患者护理是管理复杂CP的关键.
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