TY - JOUR A2 - 伊玛目，穆罕默德H. AU - 浦，莱昂纳多Zorrón程涛AU - 辛格，Rajvinder AU - 龙，昌关AU - 德莫拉，爱德华吉马良斯Hourneaux PY - 2016 DA - 2016年2月11日TI - 恶性胆道梗阻：证据的最佳实践SP - 3296801 VL - 2016 AB - 下一步应该做些什么？是狭窄良性？它是切除？我应该把支架？哪一个？这些都是一些与胆管狭窄打交道时，一个虑的问题。在切除的情况下，持续的问题依然存在是否胆管树应在手术前倒掉。在姑息性的情况下，梗阻的救济仍然是主要目标。姑息疗法选项包括外科分流术，经皮引流，和支架或内窥镜支架（transpapillary或经由内窥镜超声方法）。 This review gathers scientific foundations behind these interventions. For operable cases, preoperative biliary drainage should not be performed unless there is evidence of cholangitis, there is delay in surgical intervention, or intense jaundice is present. For inoperable cases, transpapillary stenting after sphincterotomy is preferable over percutaneous drainage. The use of plastic stents (PS) has no benefit over Self-Expandable Metallic Stents (SEMS). In case transpapillary drainage is not possible, Endoscopic Ultrasonography- (EUS-) guided drainage is still an option over percutaneous means. There is no significant difference between the types of SEMS and its indication should be individualized. SN - 1687-6121 UR - https://doi.org/10.1155/2016/3296801 DO - 10.1155/2016/3296801 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -