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分析第二次试验内镜逆行胆血管细胞造影 (ERCP) 24小时 (第二天) 首次失败后的有效性
Dilaram Khan1, Inayat Ullah2, Mohammad Kashif1
1Gastroenterology, Lady Reading Hospital, Peshawar, PAK.
Cureus
|March 4, 2024
概括
在24小时内第二次试图进行内逆向胆瘤学 (ERCP) 对于大多数初始管失败的患者是有效的. 经验丰富的内镜师在这些重复手术中显著提高了成功率.
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.
- 胆汁干预 胆汁干预
背景情况:
- 内镜逆行胆瘤胆镜 (ERCP) 是胰腺胆病的首要治疗方法.
- 深深的普通胆道 (CBD) 管是至关重要的,但在约20%的病例中失败.
- 在ERCP失败后的替代策略包括重复程序或先进技术.
研究的目的:
- 为了评估第二次ERCP试验24小时后的有效性,初始管失败.
- 确定影响重复ERCP程序成功的因素.
主要方法:
- 研究人员对94名失败胆管管道治疗的患者进行了分析研究.
- 患者在24小时内接受了第二次ERCP尝试,如果临床稳定.
- 使用SPSS v24.24分析了结果 (成功管) 和影响因素.
主要成果:
- 在第二次ERCP尝试时,76.6%的患者获得了成功的管.
- 在74.5%的病例中,常见的胆管结石是主要症状.
- 内镜经验是成功的重要预测指标 (86.8%与33.3%,p<0.001).
结论:
- 在24小时内进行第二次ERCP尝试对于大多数初始管失败的患者来说是一个可行的和有效的策略.
- 内镜师的经验是成功重复ERCP的关键因素.
- 这种方法的成功率很高,可能可以避免更具侵入性的干预措施.
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