针对恶性状胆管结构的内镜透膜支架:并排放置与部分支架内支架放置
Koji Takahashi1,2, Hiroshi Ohyama1, Yuichi Takiguchi2
1Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba 260-8670, Japan.
Journal of personalized medicine
|May 27, 2023
概括
对于不可切除的状恶性胆道狭窄,侧对侧支架放置 (SBS) 和部分支架内支架放置 (PSIS) 显示出类似的临床成功和安全性. 对于PSIS,程序时间较长,但其他结果相似.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 胆汁干预 胆汁干预
背景情况:
- 无法切除的状恶性胆道狭窄 (UHMBS) 管理通常涉及内镜暴露金属支架 (UMS) 的放置.
- 对于双胆道支架存在两种技术:并排支架 (SBS) 和部分支架内支架 (PSIS).
- 对于UHMBS,SBS与PSIS的优势仍在争论中.
研究的目的:
- 为了比较SBS和PSIS技术在UMS放置在UHMBS中的有效性和安全性.
- 评估两种支架方法之间的临床成功,不良事件和复发率.
主要方法:
- 对89名接受UMS安置的UHMBS患者的回顾性分析.
- 患者被分为SBS (n=64) 和PSIS (n=25) 组.
- 临床结果,手术时间和不良事件的比较.
主要成果:
- 临床成功率相似:79.7% (SBS) 与80.0% (PSIS) 相比.
- 不良事件发生率 (20.3%与12.0%) 和复发胆道阻塞率 (32.8%与28.0%) 并没有显著差异.
- 与SBS (43分钟) 相比,PSIS (62分钟) 的中位数手术时间明显长.
结论:
- 无论是SBS还是PSIS,都没有在临床成功,不良事件或时间到复发性胆道阻塞方面表现出优越性.
- 采用PSIS技术的结果是,程序的时间大大增加了.
- 这两种方法都是UMS在UHMBS中的可行选择,程序效率有利于SBS.
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