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超细子镜在胆囊非结石疾病中的应用OA

Application of ultra-thin endoscopy in gallbladder non-calculus diseases

中文摘要英文摘要

超细子镜技术为胆囊非结石性疾病的诊疗带来了革命性突破.该技术通过经口途径直接进入胆囊腔,实现高清晰度黏膜观察和靶向活检,显著提升了胆囊息肉、腺肌症及早期胆囊癌的诊断准确性,并支持精准治疗决策.尽管存在操作难度高、设备昂贵及解剖限制等挑战,其微创性和直接诊断价值使其成为疑难胆囊疾病的重要工具.文章结合临床实践,详述了超细子镜的技术路径、应用场景及优势,并展望了其未来在胆道内镜领域的标准化发展潜力.

Ultra-thin endoscopy has revolutionized the diagnosis and management of non-gallstone gallbladder diseases.By enabling direct transoral access to the gallbladder lumen,this technology provides high-definition mucosal visualization and targeted biopsy,significantly improving diagnostic accuracy for conditions like polyps,adenomyomatosis,and early gallbladder cancer.Despite challenges such as technical complexity,high costs,and anatomical constraints,its minimally invasive nature and direct diagnostic capabilities make it invaluable for complex cases.This article outlines the procedural techniques,clinical applications(including polyp resection and functional assessment),and advantages of ultra-thin endoscopy,supported by case examples.While current limitations hinder widespread adoption,its potential to standardize precision medicine for gallbladder pathologies is promising,positioning it as a future cornerstone in biliary endoscopy.

李劼;刘冰熔

郑州大学附属第一医院消化内科,河南郑州 451191郑州大学附属第一医院消化内科,河南郑州 451191

医药卫生

超细子镜胆囊非结石性疾病精准诊断微创治疗胆囊息肉早期胆囊癌胆道内镜

ultra-thin endoscopynon-calculous gallbladder diseasesprecision diagnosisminimally invasive treatmentgallbladder polypsearly gallbladder cancerbiliary endoscopy

《中国实用内科杂志》 2026 (4)

272-275,4

河南省重点研发专项(231111311600)中原英才计划(ZYYCYU202012113)

10.19538/j.nk2026040103

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