恶性梗阻性黄疸胆道引流术式研究进展

Research Progress on Biliary Drainage Techniques for Malignant Obstructive Obstruction

恶性梗阻性黄疸(MBO)是临床常见疾病,梗阻因恶性肿瘤压迫、浸润胆道引起,早期缺乏典型症状,手术切除率低,预后极差。目前临床MBO胆道引流方式众多,如内镜逆行胆道引流(ERBD)、内镜鼻胆管引流(ENBD)、经皮肝胆道穿刺引流(PTBD)、超声内镜引导下胆汁引流(EUS-BD)等。本文对MBO的各种胆道引流术式进行系统综述,为MBO的治疗提供参考意见。

Malignant biliary obstruction (MBO) is a common clinical disease. Obstruction is caused by malig-nant tumor compression and infiltration of the biliary tract, lacking typical symptoms in the early stage, low surgical resection rate, and extremely poor prognosis. At present, there are many clinical treatments for MBO, including endoscopic retrograde biliary drainage, endoscopic nasobiliary drainage, percutaneous transhepatic biliary drainage and endoscopic ultrasound-guided biliary drainage. This article provides a systematic review of various biliary drainage methods for MBO, providing reference opinions for the treatment of MBO.