内镜逆行胰胆管造影并发穿孔的危险因素及防治策略

刘晶晶, 郭亚荣, 柴宝

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中国高校科技期刊信息汇聚平台
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临床肝胆病杂志 ›› 2025, Vol. 41 ›› Issue (05) : 996-1000. DOI: 10.12449/JCH250529
综述

内镜逆行胰胆管造影并发穿孔的危险因素及防治策略

作者信息 +

Risk factors and prevention and treatment strategies for perforation caused by endoscopic retrograde cholangiopancreatography

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History +

摘要

内镜逆行胰胆管造影（ERCP）作为一种先进的内镜诊疗技术，在临床实践中发挥着重要作用，但其复杂的操作过程及较高的技术要求，可能会导致一系列严重的并发症，其中穿孔是最令人担忧的问题之一。穿孔不仅增加了患者的痛苦和治疗难度，还可能危及患者生命。为了确保良好的临床手术结果，需要进一步完善关于ERCP并发穿孔的预测、诊断和处理的标准化流程。本文旨在深入探讨影响ERCP相关消化道穿孔的各种危险因素、诊断方式、预防措施及治疗策略，以期为临床识别穿孔高危人群、制订个性化治疗方案提供参考。

Abstract

Endoscopic retrograde cholangiopancreatography （ERCP），as an advanced endoscopic diagnostic and therapeutic technique，plays an important role in clinical practice. However，due to its complex operation and high technical requirements，it may lead to a series of severe complications，among which perforation is an important issue of concern. Perforation not only increases pain and treatment difficulty，but also threatens the life of patients. In order to guarantee good clinical outcomes，it is necessary to further improve the standard processes for the prediction，diagnosis，and management of perforation due to ERCP. This article discusses the risk factors，diagnostic methods，preventive measures，and treatment strategies for ERCP-related gastrointestinal perforation，in order to provide a reference for identifying high-risk populations and developing individualized treatment regimens in clinical practice.

关键词

胰胆管造影术，内窥镜逆行 / 穿孔 / 危险因素

Key words

Cholangiopancreatography，Endoscopic Retrograde / Perforation / Risk Factors

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刘晶晶 , 郭亚荣 , 柴宝. 内镜逆行胰胆管造影并发穿孔的危险因素及防治策略. 临床肝胆病杂志. 2025, 41(05): 996-1000 https://doi.org/10.12449/JCH250529
LIU Jingjing, GUO Yarong, CHAI Bao. Risk factors and prevention and treatment strategies for perforation caused by endoscopic retrograde cholangiopancreatography[J]. Journal of Clinical Hepatol. 2025, 41(05): 996-1000 https://doi.org/10.12449/JCH250529

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作者贡献声明

刘晶晶负责课题设计，搜集文献并分析，撰写论文；郭亚荣负责指导论文写作及修改论文；柴宝负责指导论文写作及最后定稿。

基金

山西省自然科学基金(202303021221220)

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