SELECT中西医结合微创治疗理念在急性胰腺炎治疗中的应用

Application of minimally invasive integrated traditional Chinese and Western medicine therapy based on the SELECT concept in the treatment of acute pancreatitis

急性胰腺炎(AP)是常见的消化系统疾病之一,随着科技的进步,其治疗理念也随之改变,越来越多的微创技术应用于AP,尤其是对重症急性胰腺炎(SAP)的微创治疗。目前微创治疗AP的方式繁多,尚未有明确的研究报道某种技术占据明显优势。中西医结合治疗AP的疗效已经得到广泛认可。近年来,作者团队在中西医结合微创治疗AP方面,积累了丰富的经验并创新性的提出SELECT诊疗理念(Spyglass+ERCP+Laparoscopy+EUS+Choledochoscopy+Traditional Chinese medicine,SELECT),根据AP的严重程度及病因,选择最佳的多镜联合方式,同时结合中医药治疗,实现中西医结合微创治疗AP的优势。现基于SELECT理念,就SAP各个临床分期中的微创治疗方式进行阐述。

Acute pancreatitis(AP)is one of the common digestive diseases.With the advances in technology,the treatment concept of AP has changed,more and more minimally invasive techniques have been applied in the treatment of AP,especially severe acute pancreatitis(SAP).Although there are various different minimally invasive treatment methods for AP,no reliable clinical studies have reported that one technique is significantly better than others.The therapeutic effect of integrated traditional Chinese and Western medicine therapy in acute pancreatitis(AP)has been widely recognized.In recent years,our team has accumulated rich experience in integrated traditional Chinese and Western medicine therapy for AP and has proposed the innovative SELECT concept(Spyglass,ERCP,Laparoscopy,EUS,Choledochoscopy,and Traditional Chinese Medicine)for diagnosis and treatment.The optimal combination of various endoscopies is SELECTed based on the severity and etiology of AP,and traditional Chinese medicine treatment can be used as well to realize the advantages of minimally invasive integrated traditional Chinese and Western medicine therapy in the treatment of AP.This article elaborates on the minimally invasive treatment methods for each clinical stage of SAP based on the SELECT concept.