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ERCP选择性胆管插管困难的研究进展
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Abstract:
选择性胆管插管(Selective biliary cannulation, SBS)是内镜下逆行胰胆管造影术(endoscopic retro-grade cholangiopancreatography, ERCP)成功的基础步骤，然而其有着不容小觑的失败率。当标准插管技术失败后，选择何种辅助插管技术及抢救技术以成功实现胆管插管是摆在内镜医师面前的重要难题。本文旨在对困难胆管插管的定义、影响因素、相关并发症及不同辅助插管技术进行综述，以期为内镜医师提供循证医学参考。
Selective biliary cannulation (SBC) constitutes a pivotal step for the success of endoscopic retro-grade cholangiopancreatography (ERCP). However, it poses a significant failure rate that merits at-tention. Identifying the appropriate auxiliary cannulation methods and salvage techniques follow-ing the failure of conventional cannulation approaches is a notable obstacle for endoscopists. This review delves into the complexities surrounding difficult biliary cannulation, including its defini-tion, determinants, associated complications, and adjunctive cannulation strategies, aiming to fur-nish endoscopists with well-founded clinical guidance.
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