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Benign Biliary Strictures

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关键词消化 疾病 胆管梗阻

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解析

benign  英 [bɪˈnaɪn] 美 [bɪˈnaɪn]

释义   adj. 良性的;和蔼的,亲切的;吉利的

例句   These suggested that the ovarian tumour was benign, and that the mummy also had malaria and signs of inflammation in the lungs, which could have been caused by pneumonia or tuberculosis. 这些测试表明,她的子宫肿瘤是良性的,但她患有疟疾,并在肺中发现了炎症的迹象,这些病症可能是由肺炎或肺结核引起的。

 

biliary 英 [ˈbɪliəri] 美 [ˈbɪlieri]

释义   adj. 胆的;胆汁的;输送胆汁的;由于胆汁异状的

例句   Objective:To study the use of different biliary suture modes in liver transplantation. 目的:比较不同的缝合方法在肝移植胆道重建中的应用。

 

strictures 英 [ˈstrɪktʃə(r)s] 美 [ˈstrɪktʃərs]

释义   n. 狭窄;苛评;非难

例句   Objective:To assess the efficacy of the interventional therapy for postoperative strictures and fistula of esophagus. 目的:探讨食管手术后,吻合口狭窄和瘘的介入治疗方法的选择。


概述

良性胆管狭窄(benign biliary strictures,BBS)是指非肿瘤原因所致的胆管瘢痕性狭窄, 引起胆汁排泄受阻和胆管炎反复发作, 长期的胆管梗阻及胆道感染将导致胆管结石和严重肝功能损害, 甚至并发肝胆管癌。临床上, BBS常常继发于手术损伤、肝移植术后、腹部外伤、慢性炎症等。由于BBS病因复杂, 其治疗在临床上非常棘手, 且复发率高。 病因胆管狭窄根据起因分为恶性狭窄和良性狭窄。恶性胆管狭窄约占全部胆管狭窄的72%, 最常见的病因是胆管癌和胰腺

Treatment of completely obstructed benign biliary strictures with magnetic compression anastomosis: follow-up results after recanalization复制标题

磁加压吻合治疗完全梗阻型良性胆管狭窄: 再通后随访结果

发表时间:2016-09-09

影响因子:7.2

作者: Sung Ill Jang

期刊:Gastrointestinal Endoscopy

Advances in non-surgical methods, including endoscopic or percutaneous approaches,  have increased the clinical success rate of BBS treatment.1,9 However, non-surgical methods are limited by their inability to treat severe biliary stricture or complete obstruction because a guidewire cannot be passed through obstruction. Patients who experience failed conventional endoscopic and percutaneous treatment methods require a drainage bag for the rest of their lives. In these patients, magnetic compression anastomosis (MCA) has been suggested as an alternative treatment.10-25 The clinical feasibility and safety of MCA have been confirmed in BBS of various etiologies, but there have been no studies on the long-term patency of the new anastomosis formed by MCA. In the present study, we aimed to investigate the utility of MCA by examining follow-up data from patients who underwent the procedure.

译文

非手术方法(包括内窥镜或经皮方法)的进步提高了BBS治疗的临床成功率[1,9]。但是,非手术方法因无法治疗严重的胆道狭窄或完全阻塞而受到限制,因为无法使用导丝 通过障碍。 经历常规内窥镜和经皮治疗方法失败的患者在余生中都需要使用引流袋。 在这些患者中,已建议采用磁性压缩吻合术(MCA)作为替代疗法。10-25在各种病因的BBS中已证实MCA的临床可行性和安全性,但尚无关于长期开放性的研究。 MCA形成的新的吻合术。 在本研究中,我们旨在通过检查接受手术的患者的随访数据来研究MCA的实用性。