摘要
目前经内镜逆行性胰胆管造影(endoscopic retrograde cholangiopancreatography,ERCP)是诊治胆胰疾病最常用的方法之一.但多年来,人们尽可能地避免在妊娠期间行ERCP检查和治疗,主要是考虑到一些不利的因素,包括使用麻醉药物的安全性、辐射对发育中胎儿的影响、行ERCP治疗时机的选择、ERCP术后并发症等的担忧.但是,多年来的研究已经证明妊娠期间行ERCP治疗是安全有效的,特别是当适应证明确时,即胆管炎、胆源性胰腺炎和有症状的胆总管结石,孕妇推迟或拒绝行ERCP诊治可能会给母亲和胎儿带来更高的风险.本文就妊娠期间行ERCP诊治的研究进展作一综述.
At present, endoscopic retrograde cholangiopancreatography （ERCP） is one of the most commonly used methods for diagnosis and treatment of biliopancreatic diseases. However, over the years, ERCP has been avoided in pregnancy given the concerns regarding the adverse effects, such as the safety of sedative drugs, the impact of radiation on the developing fetus, and the complications of ERCP~ However, years of research has shown that it is safe and effective to perform ERCP during pregnancy, and the postponement or rejection of ERCP in pregnant women may lead to a higher risk for mother and fetus, especially when the indication is unequivocal （e.g., cholangitis, biliary pancreatitis, and symptomatic choledocholithiasis）. This article gives an overview of the safety of ERCP during pregnancy for disease diagnosis and treatment.
出处
《世界华人消化杂志》
CAS
2018年第4期250-255,共6页
World Chinese Journal of Digestology
基金
湖南省2014年科技创新项目投资计划~~
关键词
经内镜逆行性胰胆管造影
妊娠
胆石症
辐射暴露
Endoscopic retrograde cholangJopancreatography
Pregnancy
Cholelithiasis
Radiation exposure
