对肝内和常见胆道结石进行内镜治疗的比较研究,使用口腔胆管镜检查
Yuri Sakamoto1, Yohei Takeda1, Taro Yamashita1
1Division of Gastroenterology and Nephrology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Tottori 683-8504, Japan.
口腔胆管镜对于肝内和常见的胆道结石是有效的. 虽然肝内结石可能会增加胆管炎的风险,但内镜治疗对于这两种情况都是安全有效的.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 口腔胆道透视 (POCS) 已经推进了困难的胆道结石管理.
- 肝内结石带来了独特的挑战,在POCS治疗过程中经常与较高的胆管炎率有关.
研究的目的:
- 评估POCS治疗肝内结石的疗效和安全性,与普通胆道结石相比.
- 评估与POCS相关的并发症的发生率,特别是胆管炎,在这两组患者中.
主要方法:
- 对70名患者 (≥20年) 进行肝内或常见胆道结石的POCS后期分析 (2016年1月至2022年12月).
- 结石特征,治疗结果和肝内结石和普通胆道结石组之间的并发症率的比较.
主要成果:
- 肝内结石比常见的胆管结石要小,也比胆管结石要多.
- 虽然肝内结石的初始石头清除率较低,但最终的石头清除率相似.
- 肝内结石组的轻微胆道炎发病率显著高 (36%对8%).
结论:
- 波克斯是一种有效的内镜治疗,用于肝内和常见胆道结石.
- 与肝内结石一起观察到的更高的胆结炎率在POCS期间需要仔细监测.
- 在POCS期间管理导管内胆道压力可能有助于减轻胆道炎的风险.
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