内镜超声/SpyScope 在妊娠合并胆总管结石诊治中的作用。
Role of endoscopic ultrasound/SpyScope in diagnosis and treatment of choledocholithiasis in pregnancy.
出版信息
World J Gastroenterol. 2010 Jul 28;16(28):3601-2. doi: 10.3748/wjg.v16.i28.3601.
Abstract
Cholelithiasis and choledocholithiasis occur frequently in pregnancy and their management can be complicated. Traditional endoscopic retrograde cholangiopancreatography (ERCP) is the first line treatment for choledocholithiasis, but in addition to its baseline risks, fluoroscopy poses an additional radiation risk to the fetus. Endoscopic ultrasound (EUS) is an accurate modality for detecting common bile duct stones, but its role has not been defined in pregnancy. We describe an alternative management strategy to conventional ERCP in a pregnant patient with choledocholithiasis and cholangitis detected using EUS and choledochoscopy.
摘要
胆石病和胆总管结石在妊娠中很常见，其治疗可能很复杂。传统的内镜逆行胰胆管造影（ERCP）是胆总管结石的一线治疗方法，但除了其基线风险外，X 光透视还会对胎儿造成额外的辐射风险。内镜超声（EUS）是一种准确的方法，可以检测胆总管结石，但在妊娠中的作用尚未确定。我们描述了一种替代的治疗策略，用于使用 EUS 和胆管镜检查发现的胆石病和胆管炎的妊娠患者，替代传统的 ERCP。
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