急性胰腺炎的中西医结合微创治疗进展

Progress in minimally invasive treatment of acute pancreatitis with integrated traditional Chinese and Western medicine

急性胰腺炎是临床常见的外科急腹症,随着微创技术的发展,越来越多的治疗方式应用于急性胰腺炎,尤其是对重症急性胰腺炎和急性胆源性胰腺炎。目前中西医结合治疗急性胰腺炎的疗效已经得到广泛认可,在中西医结合微创诊疗急性胰腺炎方面,“SELECT”中西医结合微创诊疗理念应运而生,即根据急性胰腺炎的严重程度及病因,选择最优的多镜(胆胰子镜、十二指肠镜、腹腔镜、超声内镜、胆道镜)组合方式,同时联合传统中医药治疗,以患者为中心,实现了中西医结合治疗急性胰腺炎的微创化、个体化、精准化。

Acute pancreatitis is a common surgical acute abdomen in clinical practice.With the development of minimally invasive technology,more and more treatment methods are being applied to acute pancreatitis,especially for severe acute pancreatitis and acute biliary pancreatitis.At present,the efficacy of integrated traditional Chinese and Western medicine in the treatment of acute pancreatitis has been widely recognized.In terms of minimally invasive diagnosis and treatment of acute pancreatitis,the“SELECT”concept of integrated traditional Chinese and Western medicine minimally invasive diagnosis and treatment has emerged.Based on the severity and etiology of acute pancreatitis,the optimal combination of multiple endoscope(Spyglass,encoscopic retrograde cholangiopancreatography,laparoscopy,endoscopic ultrasound,choledochoscopy)is selected,and combined with traditional Chinese medicine treatment.With a patient-centered approach,we have achieved minimally invasive,individualized,and precise treatment of acute pancreatitis through the integration of traditional Chinese and Western medicine.