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ERCP治疗两型肝棘球蚴病胆道并发症相关进展
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Abstract:
肝棘球蚴病(hepatic echinococcosis, HE)又名肝包虫病，是广泛分布于世界各地的寄生虫病，在我国主要分布在西北地区和西南地区，分为囊型(hepatic cystic echinococcosis, HCE)和泡型(hepatic al-veolar echinococcosis, HAE)两类。HE病灶可压迫侵犯血管和胆道，引起一系列并发症，其中胆道并发症为最常见且最难处理的一类，一直以来都是HE治疗过程中的重点和难点。内镜下逆行胰胆管造影术(endoscopic retrograde cholangiopancreatography, ERCP)是诊断和治疗胆道疾病的常用手段，由于其内镜操作的特点，有操作快、创伤小、并发症少的优势，目前已经广泛应用于HE胆道并发症的诊治。本文就目前国内外应用ERCP治疗两型肝棘球蚴病胆道并发症的相关进展进行综述。
Hepatic echinococcosis (HE) is also known as hepatic hydatid disease, which is a parasitic disease widely distributed worldwide. In China, it is mainly prevalent in the northwest and southwest area. It is identified as two types: hepatic cystic echinococcosis (HCE) and hepatic alveolar echinococcosis (HAE). HE lesions can compress and invade blood vessels and bile ducts, causing a series of compli-cations, of which biliary complications are the most common and difficult to cure, and have always been the focus and difficulty in HE treatment. Endoscopic retrograde cholangiopancreatography (ERCP) is a common method for the diagnosis and treatment of biliary diseases. For the characteris-tics of endoscopic operation, ERCP has the advantages of shorter process, less trauma and fewer complications, and has been widely used in the diagnosis and treatment of biliary complications in HE. This article reviews the progress of ERCP in the treatment of biliary complications of two types of hepatic echinococcosis in China and foreign countries.
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