《2022年欧洲肝病学会临床实践指南:囊性肝病的管理》摘译

An Excerpt of 2022 European Association for the Study of the Liver Clinical Practice Guidelines on the Management of Cystic Liver Diseases

放射增强成像技术的问世对囊性肝病的诊断助益很大,与此同时,该疾病的治疗在既往数十年里日益成熟。因此,有必要提供全面的临床指南。本指南涵盖肝囊肿、肝脏黏液性囊性肿瘤、多囊肝病、先天性肝内胆管囊状扩张症、先天性胆管扩张综合征、胆道错构瘤和胆管周围囊肿的诊断和治疗。在深度文献复习的基础上,本指南给出了解决临床难题的建议及其支持性文件。根据牛津循证医学中心系统对证据水平进行分级,并将推荐意见等级分为“弱推荐”和“强推荐”。本指南目标为提供最佳证据,为临床医师对此类患者的临床决策提供参考。

The advent of enhanced radiological imaging techniques has facilitated the diagnosis of cystic liver lesions.Concomitantly,the evidence base supporting the management of these diseases has matured over the last decades.As a result,comprehensive clinical guidance on the subject matter is warranted.This guideline covers the diagnosis and management of hepatic cysts,mucinous cystic neoplasms of the liver,polycystic liver disease,caroli disease,caroli syndrome,biliary hamartomas and peribiliary cysts.On the basis of in-depth review of the relevant literature,this guideline provides recommendations to navigate clinical dilemmas followed by supporting text.The recommendations are graded according to the Oxford Centre for Evidence-based Medicine system and categorized as"weak"or"strong".This guideline aims to provide the best available evidence to aid the clinical decision-making process in the diagnosis and treatment of patients with cystic liver diseases,and presents the readers with translations and summarizations of the above mentioned recommendations.