经皮经肝十二指肠乳头肌扩张顺行排石术治疗胆总管结石诊治规范

Diagnosis and treatment standardizations on percutaneous transhepatic papillary balloon dilation for common bile duct stones

胆总管结石是一种常见疾病, 经皮经肝十二指肠乳头肌扩张顺行排石术(PTPBD)是国内新近兴起的一种治疗方法。与现有治疗手段相比, 已被证实具有一定的优势。为适应临床工作需要, 推广PTPBD技术在胆总管结石中的应用, 中国医师协会介入医师分会组织国内胆总管结石治疗领域的多学科专家讨论、制定了本规范, 旨在规范PTPBD技术的适应证、禁忌证、操作流程和并发症处理原则。

Common bile duct(CBD)stone is a prevalent disease.As a novel treatment for CBD stone in China,percutaneous transhepatic papillary balloon dilation(PTPBD)has shown some advantages compared with other modalities.However,many components of the procedure remains unclear,including indications,contraindications,patient preparation,bile duct puncture,papillary dilation,imaging interpretation,and complication management.In order to standardize the clinic practice of PTPBD,Chinese College of Interventionalists organized a committee,including interventional radiologists,digestive physicians and general surgeons,and commissioned this criterion.