与难以进行内镜超声波指导的胆汁排水相关的因素
Mitsuru Sugimoto1, Tadayuki Takagi1, Rei Suzuki1
1Department of Gastroenterology, School of Medicine, Fukushima Medical University.
Journal of clinical gastroenterology
|June 30, 2023
概括
非扩张的胆管是难以内镜超声波引导胆管排水 (EUS-BD) 的关键预测因素. 胆道直径为7.0毫米或更小的胆道直径表明具有挑战性的EUS-BD程序.
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.
背景情况:
- 在ERCP具有挑战性时,内镜超声引导胆管排水 (EUS-BD) 是一种替代方案.
- 在EUS-BD需要显著的操作员专业知识.
研究的目的:
- 识别与困难的EUS-BD程序相关的因素.
- 为EUS-BD难度建立预测标准.
主要方法:
- 对接受EUS-BD的患者进行了回顾性分析.
- 将患者分为"容易" (≤60分钟) 和"困难" (>60分钟) 的手术时间组.
- 组间患者特征和程序因素的比较.
主要成果:
- 两组之间患者特征没有显著差异.
- 穿孔胆道直径显著不同.
- 多变量分析发现胆道直径是难度的唯一预测因素 (OR 0.65,P=0.012).
- 截止直径为7.0毫米,预测了高灵敏度 (84.2%) 和特异性 (86.4%) 的难以实现的EUS-BD.
结论:
- 非扩张的胆管是难以预测EUS-BD的预测.
- 一个直径为7.0毫米的刺穿胆道直径可以指导初学者选择EUS-BD的穿孔部位.
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