对恶性胆道阻塞进行皮肤金属支架插入后的急性胰腺炎:一项回顾性两中心研究
Chen Xu1, Guo-Xiong Xu1, Sheng Liu2
1Department of Intervention Radiology, Suzhou Municipal Hospital Affiliated to Nanjing Medical University, Suzhou, China.
概括
急性胰腺炎是通过皮肤穿透肝胆道支架的常见并发症. 关键的危险因素包括穿过十二指卵泡的支架放置和胰腺管道可视化.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 恶性胆道阻塞需要诸如皮肤穿越肝胆道支架等干预措施.
- 急性胰腺炎是此程序后的潜在并发症.
研究的目的:
- 为了确定急性胰腺炎的发病率,风险因素和结果,经过皮肤穿透肝胆道支架.
- 确定与胰腺炎风险增加相关的特定程序要素.
主要方法:
- 一项2中心的研究包括425名患者,这些患者因恶性胆道阻塞而接受皮肤透肝胆道支架 (2016年3月 - 2020年5月).
- 分析的重点是胰腺炎的发病率,风险因素和患者手术后的结果.
主要成果:
- 胰腺炎的发病率为9.6% (425名患者中有41名).
- 确定的显著风险因素是穿过十二指卵泡的支架 (OR=8.54) 和胰腺管道可视化 (OR=9.87).
- 所有患者均在平均3.5天内通过保守治疗成功管理,没有严重病例.
结论:
- 急性胰腺炎是皮肤穿越肝胆道支架的显著并发症.
- 穿过十二指卵泡的支架和胰腺管道的可视化是术后胰腺炎的独立风险因素.
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