中医药对胆总管结石及其ERCP术后并发症的防治研究进展
|
摘要
胆总管结石是一种常见病、多发病,随着现代内镜诊疗技术的不断发展和推广应用,以经内镜逆行胰胆管造影术(ERCP)为基础的内镜诊疗技术作为一种胆总管结石的微创治疗手段逐渐被人们接受和认可,但其术后并发症却成为其治疗中新的难题。近年来,中医药在胆总管结石及其ERCP术后并发症防治方面进行了众多研究和探索,并取得了一定的进展,显示出中医药的独特优势,但也存在一些问题和不足。文章就近年来中医药对胆总管结石及其ERCP术后并发症的防治进展予以综述。
Choledocholith is a common and frequently occurring disease. With the continuous development and application of modern endoscopic diagnosis and treatment technology,it has gradually been accepted and recognized that the ERCP-based endoscopic diagnosis and treatment technology as a minimally invasive treatment of choledocholith. However,the complications of post-ERCP have become a new problem in the treatment. In recent years,there are many researches and explorations in the prevention and treatment of choledocholith with Traditional Chinese Medicine. Although they have shown the unique advantages of Traditional Chinese Medicine,there are many problems and deficiencies. In this paper,the research progress on the prevention and treatment of choledocholith and the complications of post-ERCP with Traditional Chinese Medicine in recent years are reviewed.
Choledocholith is a common and frequently occurring disease. With the continuous development and application of modern endoscopic diagnosis and treatment technology,it has gradually been accepted and recognized that the ERCP-based endoscopic diagnosis and treatment technology as a minimally invasive treatment of choledocholith. However,the complications of post-ERCP have become a new problem in the treatment. In recent years,there are many researches and explorations in the prevention and treatment of choledocholith with Traditional Chinese Medicine. Although they have shown the unique advantages of Traditional Chinese Medicine,there are many problems and deficiencies. In this paper,the research progress on the prevention and treatment of choledocholith and the complications of post-ERCP with Traditional Chinese Medicine in recent years are reviewed.
引文
[1]Testoni PA,Mariani A,Aabakken L,et al.Papillary cannulation and sphincterotomy techniques at ERCP:European Society of Gastrointestinal Endoscopy(ESGE)Clinical Guideline[J].Endoscopy,2016,48(7):657.
[2]陈军,索娟,曾晓敏,等.中医药防治胆石症随机对照试验的质量评价[J].中国循证医学杂志,2008,8(5):370.
[3]许才明,陈海龙,张贤彬,等.中医药预防ERCP术后胰腺炎的系统评价[J].中国中西医结合消化杂志,2015,23(11):777.
[4]王和天,刘殿池,赵荣莱.胆石症的中医病因病机[J].世界华人消化杂志,2001,9(9):1031.
[5]赵军艳,白亚萍.李佃贵教授治疗胆石症经验[J].四川中医,2003,21(2):1.
[6]徐人安.浅谈胆石症从痰论治[J].江西中医药,2006,37(11):12.
[7]郭晨希,孙志广.孙志广教授治疗胆石症临床经验[J].陕西中医,2016,37(4):473.
[8]张林,张闯,雷星星,等.王绍明教授藿朴夏苓汤治疗胆石症的经验分享[J].中国中医药现代远程教育,2016,14(2):59.
[9]中国中西医结合学会消化系统疾病专业委员会.胆石症中西医结合诊疗共识[J].中国中西医结合杂志,2011,31(8):1041.
[10]罗正,胡文平,朱虹,等.鼻胆管注入加减化石利胆汤对胆总管巨大结石疗效的临床对照研究[J].中国中西医结合杂志,2015,23(1):8.
[11]王浩强,刘国敏,秦韶东,等.大柴胡汤治疗胆总管结石的疗效观察[J].中国医药科学,2013,3(7):115.
[12]韩丽霞,王晴,董秀敏,等.调中溶石汤治疗肝胆气郁型胆总管结石76例疗效观察[J].北京中医药,2012,31(1):60.
[13]易新平,罗学文,郑捷.中西医结合治疗胆总管结石临床观察[J].中国中医药信息杂志,2012,19(1):66.
[14]杨涛,李高岩,苏忠,等.参术通胆汤联合胆道镜治疗胆总管结石278例疗效观察[J].河北中医,2013,35(9):1344.
[15]赵永红.大柴胡汤加减联合针刺治疗肝胆结石效果分析[J].实用中西医结合临床,2014,14(10):76.
[16]周东红,张克家.耳胆穴贴敷王不留行子治疗胆石症40例[J].中医杂志,2010,51(10):234.
[17]郑兆俭.针刺治疗胆石症疗效观察[J].上海针灸杂志,2008,27(3):18.
[18]Parsi MA.NSAIDs for prevention of pancreatitis after endoscopic retrograde cholangiopancreatography:ready for prime time[J].World J Gastroenterol,2012,18(30):3936.
[19]许才明,陈海龙,张贤彬,等.中医药预防ERCP术后胰腺炎的系统评价[J].中国中西医结合消化杂志,2015,23(11):777.
[20]邓芳芳,曹淼,张文兴.中医药预防ERCP术后胰腺炎的Meta分析[J].中医药导报,2016,22(1):105.
[21]中华中医药学会脾胃病分会.急性胰腺炎中医诊疗专家共识意见[J].中华中医药杂志,2013,28(6):1826.
[22]杨林,时昭红,李轶西,等.通腑合剂治疗内镜逆行胰胆管造影术后胰腺炎的临床研究[J].中国中西医结合杂志,2014,34(4):423.
[23]宗伟,曹睿,崔建辉,等.清胰汤经空肠营养管给药治疗内镜逆行胰胆管造影术后胰腺炎的临床研究[J].陕西中医,2015,36(8):939.
[24]刘君颖,赵文霞,李素娟,等.清胰灌肠方治疗ERCP术后胰腺炎和高淀粉酶血症的临床研究[J].中华中医药杂志,2015,30(11):4177.
[25]姜燕,张弘英,罗文,等.利胆清胰汤联合ERCP治疗肝胆湿热证胆源性胰腺炎的临床疗效研究[J].中药药理与临床,2015,31(2):115.
[26]Toyoizumi H,Imazu H,Ikeda K,et al.A novel second-generation multibending backward-oblique viewing duodenoscope in ERCP[J].Minim Invasive Ther Allied Technol,2015,24(2):101.
[27]常志恒,党彤,孟宪梅,等.内镜治疗胆总管结石复发的危险因素分析及对策[J].世界华人消化杂志,2014,22(8):1157.
[28]孔艳杰.胆总管结石ERCP取石术后结石复发的危险因素分析[J].中国普通外科杂志,2015,24(6):899.
[29]李健,张竞超,郭绍举.胆胃舒颗粒预防胆总管结石十二指肠镜取石后复发的临床观察[J].中国中医药科技,2010,17(4):346.
[30]巩阳,林一帆,麻树人,等.化石利胆汤对ERCP、EST、ENBD术后胆总管结石患者胆汁成石趋势影响的随机对照研究[J].中国中医基础医学杂志,2011,17(9):993.
[31]查火龙,孙泽群,李彩丽,等.化石利胆汤对胆总管结石ERCP术后患者CYP7A1和B-UGT的影响[J].中医药导报,2015,21(7):56.
[32]吴震宇.利胆排石汤治疗肝内胆管结石取石术后胆结石残留及胆管狭窄疗效观察[J].中华中医药学刊,2015,33(6):1180.
[33]李璐璐,黄晓俊,潘慧,等.排石汤对胆总管结石患者经内镜逆行性胰胆管造影术后胆汁成分的影响[J].兰州大学学报(医学版),2015,41(3):58.
[2]陈军,索娟,曾晓敏,等.中医药防治胆石症随机对照试验的质量评价[J].中国循证医学杂志,2008,8(5):370.
[3]许才明,陈海龙,张贤彬,等.中医药预防ERCP术后胰腺炎的系统评价[J].中国中西医结合消化杂志,2015,23(11):777.
[4]王和天,刘殿池,赵荣莱.胆石症的中医病因病机[J].世界华人消化杂志,2001,9(9):1031.
[5]赵军艳,白亚萍.李佃贵教授治疗胆石症经验[J].四川中医,2003,21(2):1.
[6]徐人安.浅谈胆石症从痰论治[J].江西中医药,2006,37(11):12.
[7]郭晨希,孙志广.孙志广教授治疗胆石症临床经验[J].陕西中医,2016,37(4):473.
[8]张林,张闯,雷星星,等.王绍明教授藿朴夏苓汤治疗胆石症的经验分享[J].中国中医药现代远程教育,2016,14(2):59.
[9]中国中西医结合学会消化系统疾病专业委员会.胆石症中西医结合诊疗共识[J].中国中西医结合杂志,2011,31(8):1041.
[10]罗正,胡文平,朱虹,等.鼻胆管注入加减化石利胆汤对胆总管巨大结石疗效的临床对照研究[J].中国中西医结合杂志,2015,23(1):8.
[11]王浩强,刘国敏,秦韶东,等.大柴胡汤治疗胆总管结石的疗效观察[J].中国医药科学,2013,3(7):115.
[12]韩丽霞,王晴,董秀敏,等.调中溶石汤治疗肝胆气郁型胆总管结石76例疗效观察[J].北京中医药,2012,31(1):60.
[13]易新平,罗学文,郑捷.中西医结合治疗胆总管结石临床观察[J].中国中医药信息杂志,2012,19(1):66.
[14]杨涛,李高岩,苏忠,等.参术通胆汤联合胆道镜治疗胆总管结石278例疗效观察[J].河北中医,2013,35(9):1344.
[15]赵永红.大柴胡汤加减联合针刺治疗肝胆结石效果分析[J].实用中西医结合临床,2014,14(10):76.
[16]周东红,张克家.耳胆穴贴敷王不留行子治疗胆石症40例[J].中医杂志,2010,51(10):234.
[17]郑兆俭.针刺治疗胆石症疗效观察[J].上海针灸杂志,2008,27(3):18.
[18]Parsi MA.NSAIDs for prevention of pancreatitis after endoscopic retrograde cholangiopancreatography:ready for prime time[J].World J Gastroenterol,2012,18(30):3936.
[19]许才明,陈海龙,张贤彬,等.中医药预防ERCP术后胰腺炎的系统评价[J].中国中西医结合消化杂志,2015,23(11):777.
[20]邓芳芳,曹淼,张文兴.中医药预防ERCP术后胰腺炎的Meta分析[J].中医药导报,2016,22(1):105.
[21]中华中医药学会脾胃病分会.急性胰腺炎中医诊疗专家共识意见[J].中华中医药杂志,2013,28(6):1826.
[22]杨林,时昭红,李轶西,等.通腑合剂治疗内镜逆行胰胆管造影术后胰腺炎的临床研究[J].中国中西医结合杂志,2014,34(4):423.
[23]宗伟,曹睿,崔建辉,等.清胰汤经空肠营养管给药治疗内镜逆行胰胆管造影术后胰腺炎的临床研究[J].陕西中医,2015,36(8):939.
[24]刘君颖,赵文霞,李素娟,等.清胰灌肠方治疗ERCP术后胰腺炎和高淀粉酶血症的临床研究[J].中华中医药杂志,2015,30(11):4177.
[25]姜燕,张弘英,罗文,等.利胆清胰汤联合ERCP治疗肝胆湿热证胆源性胰腺炎的临床疗效研究[J].中药药理与临床,2015,31(2):115.
[26]Toyoizumi H,Imazu H,Ikeda K,et al.A novel second-generation multibending backward-oblique viewing duodenoscope in ERCP[J].Minim Invasive Ther Allied Technol,2015,24(2):101.
[27]常志恒,党彤,孟宪梅,等.内镜治疗胆总管结石复发的危险因素分析及对策[J].世界华人消化杂志,2014,22(8):1157.
[28]孔艳杰.胆总管结石ERCP取石术后结石复发的危险因素分析[J].中国普通外科杂志,2015,24(6):899.
[29]李健,张竞超,郭绍举.胆胃舒颗粒预防胆总管结石十二指肠镜取石后复发的临床观察[J].中国中医药科技,2010,17(4):346.
[30]巩阳,林一帆,麻树人,等.化石利胆汤对ERCP、EST、ENBD术后胆总管结石患者胆汁成石趋势影响的随机对照研究[J].中国中医基础医学杂志,2011,17(9):993.
[31]查火龙,孙泽群,李彩丽,等.化石利胆汤对胆总管结石ERCP术后患者CYP7A1和B-UGT的影响[J].中医药导报,2015,21(7):56.
[32]吴震宇.利胆排石汤治疗肝内胆管结石取石术后胆结石残留及胆管狭窄疗效观察[J].中华中医药学刊,2015,33(6):1180.
[33]李璐璐,黄晓俊,潘慧,等.排石汤对胆总管结石患者经内镜逆行性胰胆管造影术后胆汁成分的影响[J].兰州大学学报(医学版),2015,41(3):58.