胰腺管道结石的管理:体外方法
Manu Tandan1, Partha Pal1, Duvvuru Nageshwar Reddy1
1Asian Institute of Gastroenterology, 6-3-661, Somajiguda, Hyderabad, TG 500082, India.
Gastrointestinal endoscopy clinics of North America
|September 14, 2023
概括
身体外冲击波石解术为大型胰腺结石提供了安全有效的治疗方法,是手术的主要替代方案. 这种微创手术方法在大多数患者中实现了石头清除,提供了显著的长期疼痛缓解.
科学领域:
- 胃肠病学和内镜检查
- 最少侵入性的手术
- 脏病学和泌尿病学
背景情况:
- 胰腺结石 (结石) 可以引起显著的疼痛和阻塞.
- 标准的内镜逆行胆血管细胞造影 (ERCP) 技术对于大或难以提取的胰腺结石通常是不够的.
- 手术干预带来更高的风险和更长的恢复时间.
研究的目的:
- 为了评估体外冲击波石化术 (ESWL) 的安全性和有效性,用于管理大型胰腺结石.
- 确定ESWL作为一线治疗标准ERCP不适合的胰腺结石的潜力.
- 评估ESWL后的长期结果,包括石头清除和缓解疼痛.
主要方法:
- 在患有大胰腺结石的患者中利用体外冲击波石 (ESWL).
- 专注于那些石头无法通过标准内镜逆行胆血管细胞造影 (ERCP) 进行切除的患者.
- 随访患者以评估石头清除率,缓解疼痛以及重新干预的需要.
主要成果:
- ESWL展示了一种安全有效的方法来清除大型胰腺结石.
- 在大约75%的患者中,完全清除了石头.
- 在约67%的患者中报告了长期疼痛缓解,在不到50%的患者中需要重新干预.
结论:
- 身体外冲击波石 (ESWL) 是一种可行且有效的微创性治疗大胰腺结石的方法.
- 在适当选择的患者中,ESWL应被视为一线治疗选择,而不是手术.
- 需要进行进一步的比较研究,特别是针对使用胰腺镜进行的导管内石.
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