基于SELECT理念的中西医结合微创治疗肝胆管结石

Minimally invasive integrated traditional Chinese and Western medicine therapy for hepatolithiasis based on the SELECT concept

肝胆管结石临床治疗棘手、易复发、并发症发生率高,诊治不当极易造成肝功能不全,故成为临床亟待解决的难题之一。随着诊疗设备的进步,各种内镜微创技术的开展,使大多数肝胆管结石得到有效的治疗。中医药不但有预防结石复发的作用,而且在围手术期能够加速患者的康复。SELECT理念是根据肝胆管结石的不同类型及分布特点,选用最优化的多镜组合的微创治疗方式,围手术期结合中医药治疗,实现中西医结合治疗肝胆管结石的微创化、多元化、个体化。

Hepatolithiasis is difficult to treat in clinical practice and has high recurrence rate and incidence rate of complications,improper diagnosis and treatment can easily lead to hepatic insufficiency,and thus it has become one of the difficult problems to be solved in clinical practice. With the improvement of medical equipment and the wide application of various minimally invasive endoscopic techniques,most patients with hepatolithiasis can receive effective treatment. Traditional Chinese medicine therapy can prevent the recurrence of calculi and promote patients’ recovery during the perioperative period. Based on the SELECT(Spyglass,ERCP,Laparoscopy,EUS,Choledochoscopy,Traditional Chinese Medicine) concept,minimally invasive treatment with a combination of various endoscopies should be selected according to the type and clinical features of hepatolithiasis and integrated traditional Chinese and Western medicine therapy should be given in the perioperative period to realize the minimally invasive,diversified,and individualized integrated traditional Chinese and Western medicine therapy for hepatolithiasis.