在内镜超声波导向肝胃肠切除术期间,用于导线操纵的循环技术
Haruo Miwa1, Kazuya Sugimori1, Yuto Matsuoka1
1Gastroenterological Center Yokohama City University Medical Center Yokohama Japan.
概括
循环技术在内镜超声波导向肝胃肠切除术 (EUS-HGS) 期间对导线操纵有用. 建议在胆道被刺穿时以大于70度的角度进行.
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:
- 透视超声导向肝胃肠切除术 (EUS-HGS) 是胆道阻塞管理的一个关键程序.
- 对EUS-HGS的最佳导线操纵技术需要进一步调查.
研究的目的:
- 在EUS-HGS.期间评估引导线操纵中循环技术的实用性和最佳条件.
- 识别与使用循环技术相关的因素.
主要方法:
- 在2015年4月至2022年1月期间接受EUS-HGS的52名患者的回顾性分析.
- 将导线操纵分类为基于尖端形状的常规或循环技术.
- 后勤回归分析,以确定与循环技术使用相关的因素.
主要成果:
- 对于EUS-HGS的技术成功率为100%.
- 循环技术在38%的案例中被使用.
- 胆道与针之间的角度>70°与循环技术的使用独立相关 (OR 9.84;P < 0.01).
结论:
- 循环技术是EUS-HGS中导线操纵的一个有价值的方法.
- 循环技术特别推当胆道以超过70°的角度进入时.
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