在患有胆道泄漏的患者中进行皮肤透肝胆道排水 (PTBD):技术和临床结果
Sinan Deniz1, Osman Öcal1, Moritz Wildgruber1
1Department of Radiology, University Hospital, LMU Munich, Munich, Germany.
Medicine
|September 15, 2023
概括
皮肤经肝胆道排水 (PTBD) 有效地治疗胆道泄漏,实现高技术和临床成功率,并发症概况低. 晚年和左侧排水被确定为临床失败的危险因素.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道手术 肝胆道手术
- 胃肠病学 胃肠病学
背景情况:
- 胆道泄漏是一种重要的术后并发症.
- 非扩张的胆道系统对有效治疗提出了挑战.
- 皮肤穿透肝胆道排水 (PTBD) 是治疗胆道泄漏的一种选择.
研究的目的:
- 评估超声波辅助PTBD的技术和临床结果.
- 评估PTBD在胆道泄漏患者的安全性和有效性.
- 确定与临床失败相关的风险因素.
主要方法:
- 74名患者进行超声波辅助PTBD治疗胆道泄漏的回顾性分析 (2017年1月至2021年12月).
- 评估周围手术特征,适应症,技术和临床成功率.
- 对手术持续时间,光镜时间和临床结果的分析.
主要成果:
- 高技术成功率 (91.8%) 和临床成功率 (80.8%).
- 平均手术和光镜时间分别为43.5分钟和18.6分钟.
- 主要并发症的发生率为4% (3例出血).
- 年龄超过65岁和左侧排水是临床失败的重要危险因素 (P=.027,P=.034).
结论:
- 超声波辅助PTBD是一种可行的,安全和有效的胆道泄漏治疗方法.
- 在管理胆道泄漏时,PTBD的并发症率很低.
- 患者的年龄和排水侧面性是治疗成功的重要考虑因素.
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