急性梗阻性化脓性胆管炎诊疗的研究进展

被引:23
作者
张凯 [1 ]
闫军 [2 ]
机构
[1] 山西医科大学第一临床医学院
[2] 山西医科大学第一医院普外科
关键词
急性梗阻性化脓性胆管炎; 诊断; 内镜治疗; 手术时机;
D O I
暂无
中图分类号
R657.4 [胆囊、胆管];
学科分类号
100408 [卫生政策与卫生管理学];
摘要
急性梗阻性化脓性胆管炎(acute obstructive suppurative cholangitis,AOSC)是外科常见的急腹症,胆道结石和胆道梗阻是其主要的发病原因。本病起病急,进展快,病死率高。目前依靠临床表现、影像学检查及实验室检查不难做出诊断。在明确诊断的基础上,积极的非手术治疗及外科干预是治疗关键。本研究通过检索国内外相关文献,对AOSC的病因、诊断、治疗等方面的最新研究进展进行综述,并着重对内镜治疗的发展及手术时机进行论述,以便于服务于临床,为AOSC的规范化诊疗提供参考。
引用
收藏
页码:1902 / 1907
页数:6
相关论文
共 30 条
[1]
Acute cholangitis: current concepts [J].
Wah, David Lan Cheong ;
Christophi, Christopher ;
Muralidharan, Vijayaragavan .
ANZ JOURNAL OF SURGERY, 2017, 87 (7-8) :554-559
[2]
Procalcitonin is a useful biomarker to predict severe acute cholangitis: a single-center prospective study [J].
Umefune, Gyotane ;
Kogure, Hirofumi ;
Hamada, Tsuyoshi ;
Isayama, Hiroyuki ;
Ishigaki, Kazunaga ;
Takagi, Kaoru ;
Akiyama, Dai ;
Watanabe, Takeo ;
Takahara, Naminatsu ;
Mizuno, Suguru ;
Matsubara, Saburo ;
Yamamoto, Natsuyo ;
Nakai, Yousuke ;
Tada, Minoru ;
Koike, Kazuhiko .
JOURNAL OF GASTROENTEROLOGY, 2017, 52 (06) :734-745
[3]
Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis.[J].Reem Z. Sharaiha;Muhammad Ali Khan;Faisal Kamal;Amy Tyberg;Claudio R. Tombazzi;Bilal Ali;Claudio Tombazzi;Michel Kahaleh.Gastrointestinal Endoscopy.2016, 5
[4]
Evidence-Based Management of Common Gallstone-Related Emergencies [J].
Demehri, Farokh R. ;
Alam, Hasan B. .
JOURNAL OF INTENSIVE CARE MEDICINE, 2016, 31 (01) :3-13
[5]
Similar Efficacies of Endoscopic Ultrasound–guided Transmural and Percutaneous Drainage for Malignant Distal Biliary Obstruction.[J].Tae Hoon Lee;Jun-Ho Choi;Do Hyun Park;Tae Jun Song;Dong Uk Kim;Woo Hyun Paik;Young Hwangbo;Sang Soo Lee;Dong Wan Seo;Sung Koo Lee;Myung-Hwan Kim.Clinical Gastroenterology and Hepatology.2016, 7
[6]
Su1633 Holmium LASER Lithotripsy Versus Electrohydraulic Lithotripsy in Patients With Difficult Bile Duct Stones.[J].Ji Wan Kim;Tae Yoon Lee;Hyun A.H. Chung;Young Koog Cheon;Chan Sup Shim.Gastrointestinal Endoscopy.2015, 5S
[7]
A Comparative Evaluation of EUS-Guided Biliary Drainage and Percutaneous Drainage in Patients with Distal Malignant Biliary Obstruction and Failed ERCP [J].
Khashab, Mouen A. ;
Valeshabad, Ali Kord ;
Afghani, Elham ;
Singh, Vikesh K. ;
Kumbhari, Vivek ;
Messallam, Ahmed ;
Saxena, Payal ;
El Zein, Mohamad ;
Lennon, Anne Marie ;
Canto, Marcia Irene ;
Kalloo, Anthony N. .
DIGESTIVE DISEASES AND SCIENCES, 2015, 60 (02) :557-565
[8]
Early Oral Antibiotic Switch Compared with Conventional Intravenous Antibiotic Therapy for Acute Cholangitis with Bacteremia [J].
Park, Tae Young ;
Choi, Jung Sik ;
Song, Tae Jun ;
Do, Jae Hyuk ;
Choi, Seong-Ho ;
Oh, Hyoung-Chul .
DIGESTIVE DISEASES AND SCIENCES, 2014, 59 (11) :2790-2796
[9]
Procalcitonin as a useful biomarker for determining the need to perform emergency biliary drainage in cases of acute cholangitis [J].
Shinya, Satoshi ;
Sasaki, Takamitsu ;
Yamashita, Yuichi ;
Kato, Daisuke ;
Yamashita, Kanefumi ;
Nakashima, Ryo ;
Yamauchi, Yasushi ;
Noritomi, Tomoaki .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2014, 21 (10) :777-785
[10]
Spectrum of pathogens in acute cholangitis in patients with and without biliary endoprosthesis [J].
Weber, Andreas ;
Schneider, Jochen ;
Wagenpfeil, Stefan ;
Winkle, Philipp ;
Riedel, Julia ;
Wantia, Nina ;
Feihl, Susanne ;
Roemmler, Franziska ;
Baur, Dorothee M. ;
Schmid, Roland M. ;
Alguel, Hana ;
Huber, Wolfgang .
JOURNAL OF INFECTION, 2013, 67 (02) :111-121