急性胆囊炎内镜及介入治疗的研究进展

Abstract

急性胆囊炎是一种常见的急腹症。根据严重程度不同可分为Ⅰ级(轻度)、Ⅱ级(中度)、Ⅲ级(严重)。对于病情严重且手术风险较高的患者，胆囊引流是重要的治疗手段。临床上常用的经皮经肝胆囊引流，临床成功率可达65%以上。随着内镜技术的发展，国内外一些中心开始将内镜下胆囊引流应用到急性胆囊炎的管理，本文介绍了临床上常用的胆囊引流方法，如经皮经肝穿刺胆囊引流、超声内镜引导下胆囊穿刺引流术、内镜下经乳头胆囊引流术等，并就近年来急性胆囊炎内镜及介入治疗发展现状进行综述。

Alternate abstract:

Acute cholecystitis is a common acute abdominal disease, and it can be classified into grade Ⅰ (mild), grade Ⅱ (moderate), and grade Ⅲ (severe) based on severity. Gallbladder drainage is an important treatment method for patients with severe disease conditions and a high surgical risk. Percutaneous transhepatic gallbladder drainage is commonly used in clinical practice and has a clinical success rate of more than 65%. With the development of endoscopic technology, some centers in China and globally have begun to apply endoscopic gallbladder drainage to the management of acute cholecystitis. This article introduces the methods of gallbladder drainage commonly used in clinical practice, such as percutaneous hepatic gallbladder drainage, endoscopic ultrasound-guided gallbladder drainage, endoscopic transpapillary gallbladder drainage, as well as the progress in endoscopic interventional treatment of acute cholecystitis in recent years.