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复杂疑难胆胰疾病高级ERCP教程
$45.55
书中内容正是临床工作中令人倍感困扰的复杂疑难胆胰疾病(如肝门部胆管狭窄、活体肝移植后高位胆管狭窄等)ERCP治疗,其中还介绍了大量内镜新技术,如磁压吻合术、功能性胆管支架等。本书有助于广大ERCP医师提升自身技术,启发临床创新思维,为进一步开发具有我国自主知识产权的?ERCP新技术贡献力量。 北京大学第三医院消化科主任医师 黄永辉
本书引进自世界知名的 Springer 出版社,是一部特别针对复杂疑难胆胰疾病的 ERCP 治疗著作。著者以丰富的影像学资料,系统展示了国际疑难胆胰疾病的 ERCP 诊疗进展与前沿,以复杂疑难胆胰疾病作为阐述重点,不但对不明原因胆管狭窄的鉴别思路与全新方法进行了系统介绍,还针对困扰内镜医师良久的肝门部胆管良恶性狭窄、活体肝移植后高位胆管梗阻、难治性良性胆管狭窄等临床治疗疑难问题进行了具体阐释,对金属支架、塑料支架及经皮介入治疗的优劣势亦做了详细讲解和比较。此外,著者还介绍了 EUS 胆胰管穿刺、跨黏膜引流、会师技术等近年来发展较为迅速的内镜技术,融汇了治疗完全性胆管梗阻的磁压吻合术等前沿技术,概述了各种功能性胆管支架的研发和应用效果。本书内容新颖独特,图文并茂,适合 ERCP内镜医师及肝胆胰外科医师阅读参考。
黄永辉,教授、主任医师,医学博士,博士研究生导师。北京大学第三医院消化内镜中心主任,北京大学第三医院消化科副主任,中华医学会消化内镜学分会常委、超声内镜学组副组长,北京医学会消化内镜分会副主任委员、ERCP学组副组长,中国医师协会内镜医师分会常委,中国非公立医疗机构协会消化内镜专业委员会副主任委员,中国医师协会消化医师分会胰胆疾病专业委员会副主任委员,中国研究型医院学会消化内镜分子影像专业委员会副主任委员,中国抗癌协会肿瘤内镜专业委员会常委,中华医学会消化病学分会胰腺病学组、微创介入学组委员,国家消化道早癌防治中心联盟常务理事,中国医疗器械行业协会消化内镜创新发展分会常务理事。
第 1 章 活体供肝移植后高位胆管狭窄 一、概述二、定义三、发生率 四、病因学 五、病理生理学六、危险因素七、内镜治疗 八、手术九、新的尝试 十、结论第 2 章 完全梗阻性胆管狭窄治疗(一):磁压吻合术的概念及方法一、历史 二、磁体 三、动物实验 四、人体研究五、MCA 适应证 六、方法七、总结 第 3 章 完全梗阻性胆管狭窄治疗(二):磁压吻合术的临床应用和效果 一、概述 二、MCA 治疗胆胆狭窄 三、MCA 应用于胆肠狭窄 四、疑难病例的实用技巧 五、总结第 4 章 难治性良性胆管狭窄的经皮介入治疗 一、概述 二、诊断检查三、经皮介入治疗的技术与设备 四、治疗策略 五、随访与监测六、结论 第 5 章 肝门部狭窄 SEMS 的置入:对象、时机、目的一、概述二、胆管减压 三、引流方式四、金属支架或塑料支架置入五、单侧引流或双侧引流六、支架内支架或是支架旁支架七、进展 八、结论 第 6 章 肝门部狭窄 SEMS 的置入:支架选择、置入方法及目的一、背景二、引流体积及支架数量三、支架置入方法 四、2014 年东京标准 五、结论 第 7 章 自膨式金属支架(SEMS)用于治疗肝门部恶性梗阻: ERCP 与经皮穿刺途径的对比 一、概述 二、胆管支架置入的策略 三、内镜下胆管引流 四、经皮胆管引流五、内镜下还是经皮穿刺引流 六、总结 第 8 章 恶性胆管梗阻的姑息治疗 节 一、概述二、内镜下引流的胆管支架选择 三、内镜下括约肌切开术对放置胆管支架的必要性四、支架远端的位置:经乳头和乳头内支架置入 五、恶性肝门部胆管狭窄的Z佳内镜下引流策略 六、十二指肠梗阻患者的内镜下胆管支架置入第二节 一、 EUS 引导的恶性胆管梗阻的胆汁引流 二、EUS-BD 的类型 三、EUS-BD 的适应证 四、EUS-BD 的术前准备五、EUS-BD 操作规程 第三节 恶性胆管癌的姑息性局部消融治疗 第 9 章 不明原因胆管狭窄的鉴别 一、概述二、定义三、病因四、胆管狭窄患者的评估五、结论第 10 章 良性胰管狭窄的特点一、概述 二、检查方法 第 11 章 良性胰管狭窄的治疗 一、概述 二、内科治疗 三、内镜治疗 四、外科手术 第 12 章 功能性胆管支架 一、概述二、防移位支架三、药物洗脱支架四、放射性支架五、抗反流支架 六、形状改良支架七、生物降解支架 八、结论
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