连续191次内镜超声波指导胆道疏通手术的安全性和有效性:单中心体验
Michał Zieliński1, Mateusz Jagielski1, Jacek Piątkowski1
1Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum Nicolaus Copernicus University, Torun, Poland.
Polski przeglad chirurgiczny
|December 5, 2024
概括
在标准ERCP失败时,内镜超声波 (EUS) 引导的跨壁接入为胆道排水提供了有效和安全的替代方案. 这些先进的内镜技术改善了胆道狭窄患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 胆道干预措施 胆道干预
背景情况:
- 内镜超声波 (EUS) 能使人能够通过胆管进入胆管.
- 在胆道排水 (BD) 方面,EUS为内镜逆行胆道松造影 (ERCP) 提供了一个替代方案.
- 这在难以通过皮膜进入时至关重要.
研究的目的:
- 评估EUS引导的外解剖学内镜胆道接入的有效性和安全性.
- 评估这些方法治疗良性和恶性胆道狭窄.
主要方法:
- 对患有阻塞性黄和胆道狭窄症患者的回顾性分析 (2016-2023年).
- 专注于需要EUS指导的跨壁接入的患者,因为失败的跨皮质ERCP.
- 包括跨壁支架和 biliodigestive 解剖.
主要成果:
- 包括191名患者;163名 (85.34%) 接受了转移性胆管消化解.
- 高技术成功率 (97.38%) 和临床成功率 (89.01%).
- 并发症率为16.75%,死亡并发症为3.14%.
结论:
- 在胆道狭窄的情况下,EUS引导的跨壁接入是有效和安全的.
- 在ERCP无效时提供可行的替代方案.
- 在不可切除的癌症病例中改善息护理的生活质量.
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