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在失败的常规胰腺内疗后,胰腺管石的EUS引导激光石化术

James Emmanuel¹, Deborah Chew Chia Hsin², Wan Zaharatul Ashikin Bt Wan Abdullah²

¹Gastroenterology and Hepatology, Queen Elizabeth Hospital, Kota Kinabalu, Malaysia.

Endoscopy international open

|February 2, 2024

概括

在其他方法失败时,内镜超声波导向激光石解术提供了一种打破胰腺管道石的新方法. 这种技术成功地减少了两名患有慢性胰腺炎的患者的疼痛.

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.
疼痛管理疼痛管理

背景情况:

慢性胰腺炎的疼痛通常与胰腺管石有关,导致阻塞和高血压.
传统的内镜逆行性胆血管细胞造影用于石头的去除可能会受到管困难的限制.
身体外冲击波石化疗法 (ESWL) 是另一种选择,但可能并不总是成功.

研究的目的:

描述一种用于胰腺管道石块碎片化的新型内镜技术.
评估胰腺管道结石的EUS导向激光石化术的可行性和初步结果.
为介绍这种创新方法的第一个报告的案例.

主要方法:

采用了一种新的技术,使用内镜超声波 (EUS) 引导的激光石术.
一种霍尔激光纤通过EUS吸入针推进,以破碎胰腺管道中的石头.
这项手术是在两名患有慢性胰腺炎的患者身上进行的,他们之前的治疗失败了.

主要成果:

在这两位患者中,胰腺管石的成功碎片化得到了成功.
没有观察到与手术相关的并发症.
患者在一个月的随访后报告腹痛得分显著降低.

结论:

以EUS指导的激光石解术是一种潜在有效的新方法,用于胰腺管道石块碎片化.
这种技术可以作为ESWL的替代方案,特别是在管失败的情况下.
需要进一步的前性研究来确认这种方法的安全性,有效性和最佳应用.

关键词:

干预欧盟安全服务 (EUS)胰腺是什么? 胰腺是什么?石头石头石头

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