內(nèi)鏡在膽胰系統(tǒng)疾病診治中的應(yīng)用
內(nèi)鏡在膽胰系統(tǒng)疾病診治中的應(yīng)用
周文策* 李玉民 王正峰
【摘要】 隨著人們生活水平的提高，微創(chuàng)、快速康復(fù)的醫(yī)療理念逐漸深入人心。自從1968年內(nèi)鏡下逆行膽胰管造影術(shù)（ERCP）問世以來，尤其是1974年內(nèi)鏡下乳頭括約肌切開術(shù)（EST）的臨床應(yīng)用，ERCP已成為臨床診斷和治療膽胰疾病的重要手段，近年來，膽道鏡、膽道母子鏡以及超聲內(nèi)鏡在膽胰系統(tǒng)疾病中的應(yīng)用也日益廣泛，以上技術(shù)在臨床上聯(lián)合應(yīng)用、相互補(bǔ)充，進(jìn)一步確定了內(nèi)鏡在膽胰系統(tǒng)疾病中診斷及治療中難以取代的巨大作用。本文將簡述診統(tǒng)疾病的應(yīng)用現(xiàn)狀。
【關(guān)鍵詞】 內(nèi)鏡； 膽道； 胰腺； 診斷； 治療
Endoscopic Application in Diagnosis and Treatment of Disease in Bile Pancreatic System, Zhou Wence, Wang Zhengfeng, The First Hospital of Lanzhou University, Li Yumin, Lanzhou University Second Hospital,Lanzhou,730030 China
【Abstract】 As people’s living standard has risen, the medical concept of minimally invasive and quick recovery has become more popular . Since Encoscopic Retrograde Cholangio-Pancreatography(ERCP) was used in 1968, especially the clinical use of endoscopic papillary sphincterotomy (EST) in 1974, ERCP has become an important method for clinical diagnosis and treatment of biliary pancreatic diseases. In recent years, the new technology of choledochoscope, biliary mother mirror as well as the endoscopic ultrasonography have been widely used in the bile pancreatic system diseases, which has set the irreplaceable role of the endoscopy in diagnosis and treatment of bile pancreatic system diseases. This article reviews the present application situation of the endoscopic diagnosis and treatment for bile pancreatic system disease.
【Key words】 Endoscopic； Biliary； Pancrease； Diagnosis and treatment