【摘要】 门静脉性胆道病(PB)可累及整个胆道系统,主要介绍了累及肝外胆管、胆囊管及胆囊的肝外型PB。该病临床较为少见,多数医生对其认识不足。由于该病累及丰富的血管系统及精细的胆道系统,因此其治疗方案的选择应极其慎重,错误的治疗方案极易出现大出血及胆道损伤,加重患者病情,甚至危及患者生命。目前国际上尚无标准的PB治疗流程图。内镜微创治疗及外科介入治疗为临床常用的微创治疗方法。综述了PB的发病机制及目前临床应用的微创治疗方法,以期为该病的科学诊治提供依据。更多还原

【Abstract】 Portal biliopathy(PB) can involve the whole biliary system and this article mainly introduces extrahepatic PB that involves the extrahepatic bile duct,the cystic duct,and the gallbladder. This disease is relatively rare in clinical practice,and most doctors do not have enough knowledge of this disease. Since this disease involves the rich vascular systems and the fine biliary system,its therapeutic regimens should be selected carefully; improper therapeutic regimens may easily cause massive hemorrhage and bile duct injury,make patients’ conditions worse,and even threaten their lives. At present,there is still no standard flow chart for the treatment of PB around the world. Endoscopic therapy and surgical interventional treatment are commonly used minimally invasive therapies in clinical practice. This article reviews the pathogenesis of PB and minimally invasive therapies currently used in clinical practice,in order to provide a basis for scientific diagnosis and treatment of this disease.更多还原