胆总管结石的外科治疗进展
Chinese Journal of Medicine（2020）
Abstract
胆总管结石(common bile duct stones,CBDS)是临床上常见的胆道疾病,占胆石症的 10％ ～ 20％ [1],如果不及时治疗,可导致梗阻性黄疸、急性胆管炎、急性胰腺炎等严重并发症.胆总管结石的治疗有多种方法,最传统的是通过外科手术行开腹胆总管探查术(common bile duct exploration,CBDE) [2].1968年,MCCUNE 等 [3] 首次报道了内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography, ERCP),此后,以 ERCP 为主要技术手段的内镜下取石成为了治疗胆总管结石的又一重要手段.
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