课件：泽宇 ERCP技术的临床应用.ppt

胆管癌 ERBD 姑息性引流-----有效率90.4% Bismuth I型 85% II型 71% IIIa型 71% IIIb型 77% IV型 50% 胆管癌 胰头癌乳头内镜像 胰头癌ERBD后 胰头癌 胆管癌 EMBE 不能根治性切除的恶性胆道梗阻 引流胆系较丰富 无肝肾等重要器官功能障碍 至少存活3个月 经济条件许可 肿瘤生长特性为非浸润性 胆管癌 胆管癌 高位胆管恶性梗阻多点引流 目的:充分引流、防治感染 形式:内外联合引流 多根塑料内支架引流 塑料内支架与金属支架混合引流 双金属支架引流 ENBD+ERBD 高位胆管癌 双ERBD 高位胆管癌 ERBD+EMBE 高位胆管癌 双EMBE 高位胆管癌 急性重症胰腺炎 胰胆管ERPD及ERBD双支架引流 我院ERCP团队及ERCP设备 Current treatment modalities used in the management of biliary strictures include surgery, percutaneous radiologic interventions and endoscopic therapy. Each modality offers advantages over the others in specific clinical situations. The therapy chosen for a given patient should provide the safest, most efficient, and most economical means of achieving the desired outcome. This program will discuss endoscopic techniques used in the management of biliary strictures. Current treatment modalities used in the management of biliary strictures include surgery, percutaneous radiologic interventions and endoscopic therapy. Each modality offers advantages over the others in specific clinical situations. The therapy chosen for a given patient should provide the safest, most efficient, and most economical means of achieving the desired outcome. This program will discuss endoscopic techniques used in the management of biliary strictures. Current treatment modalities used in the management of biliary strictures include surgery, percutaneous radiologic interventions and endoscopic therapy. Each modality offers advantages over the others in specific clinical situations. The therapy chosen for a given patient should provide the safest, most efficient, and most economical means of achieving the desired outcome. This program will discuss endoscopic techniques used in the management of biliary strictures. Current treatment modalities used in the management of biliary strictures include surgery, percutaneous radiologic interventions and endoscopic therapy. Each modalit