长时间覆盖的胆管支架的皮肤穿插在患有恶性双胆管狭窄症的患者
Chang Hoon Oh1, Dong Il Gwon2, Hee Ho Chu3
1Department of Radiology, Ewha Womans Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
European radiology
|August 4, 2023
概括
长时间覆盖的胆管支架对于恶性双胆管狭窄是安全有效的. 在所有患者中都取得了技术上的成功,排水率和生存率都很好,在这个患者群体中证明了可行性.
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.
- 在瘤学瘤学.
背景情况:
- 恶性双胆管狭窄症对胆管排水构成重大挑战.
- 长覆盖的胆道支架为管理这些复杂的狭窄提供了潜在的解决方案.
研究的目的:
- 评估长时间覆盖胆管支架的技术可行性,安全性和有效性,用于患有恶性双胆管狭窄症的患者.
- 评估支架穿透性和支架放置后的患者存活率.
主要方法:
- 追溯研究57名患有恶性双腹狭窄症的患者,接受了18或23厘米长的覆盖胆汁支架治疗.
- 分析了技术成功,不良事件,内部排水,患者存活率和支架穿透性.
主要成果:
- 在所有57名患者中,支架部署的技术成功率为100%.
- 在96.5%的患者中,成功实现了内部排水,平均存活时间为99天,支架穿透度为73天.
- 17.5%的患者出现了不良事件;由于污泥,瘤过度生长或支架崩,在25.5%的患者中观察到支架功能障碍.
结论:
- 长时间覆盖的胆汁支架的穿皮插入是一种安全有效的手术,用于恶性双胆管狭窄.
- 该程序取得了很高的技术成功,并实现了成功的内部排水,无论同时放置十二指肠支架.
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