在急性胆囊炎中预测内透皮囊胆囊排水技术故障的因素
Noriyuki Hirakawa1, Kenjiro Yamamoto1, Atsushi Sofuni1
1Department of Gastroenterology and Hepatology Tokyo Medical University Tokyo Japan.
DEN open
|November 2, 2023
概括
内透皮胆囊排水 (ETGBD) 对急性胆囊炎是有效的. 技术上的成功取决于囊性管道的解剖学,以及在此过程中避免受伤.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 外科手术的结果
背景情况:
- 内透皮胆囊排水 (ETGBD) 是急性胆囊炎的一个复杂的程序.
- 对于ETGBD技术成功的预测因素尚未得到充分证实.
研究的目的:
- 确定预测ETGBD技术成功的因素.
- 分析影响ETGBD结果的解剖学和程序元素.
主要方法:
- 对182名接受ETGBD治疗急性胆囊炎的患者进行了回顾性分析.
- 评估临床,解剖学 (囊性管道方向/过程) 和程序因素 (囊性管道损伤).
主要成果:
- 技术成功率为84.6%;临床成功率为96.1%.
- 副作用发生在11.0%的患者中.
- 右头骨囊管方向,螺旋轨道和囊管损伤与技术故障有关.
结论:
- ETGBD是急性胆囊炎的实际选择.
- 解剖学变异 (右头骨/螺旋囊管) 和程序并发症 (囊管损伤) 可以阻碍ETGBD的成功.
- 建议对ETGBD进行仔细的患者选择.
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