超声内镜与经内镜逆行胰胆管造影联合洽疗胆胰疾病

摘要

Endoscopic retrograde cholangiopancreatography(ERCP),as the main means of digestive endoscopy,plays an important role in the minimally invasive treatment of some pancreaticobiliary diseases,such as biliary drainage,external drainage,and pancreatic duct stent-ing for the decompression treatment of biliary stricture and pancreatic duct stricture and the treatment of pancreatic fistula. In recent years, with the progress in interventional endoscopic ultrasonography(EUS),EUS-guided puncture and stent implantation can be used to com-plete decompression of the bile duct and pancreatic duct when ERCP intubation is not successful or ERCP is unable to complete decompres-sion of the bile duct and pancreatic duct due to postoperative anatomical changes,which provides a new choice of treatment for biliary and pancreatic diseases and reflects the complementary role of EUS and ERCP in the treatment of biliary and pancreatic diseases.%经内镜逆行胰胆管造影(ERCP)作为消化内镜主要手段,在一些胆胰疾病的微创治疗方面起到重要作用,在胆管狭窄、胰管狭窄的减压治疗、胰瘘的治疗等方面,ERCP的胆管内引流术及外引流术、胰管支架植入术等起关键的作用.近年由于介入超声内镜(EUS)技术的进步,当ERCP插管未成功,或手术后解剖结构改变而传统ERCP无法完成胆管、胰管的减压时,还可以通过EUS引导下穿刺及支架植入术完成胆胰管的减压,为其治疗开辟新的领域,同时也体现EUS与ERCP在胆胰疾病治疗中起到的互补作用.