在十二指腺上受影响的常见胆道结石的临床特征
Jae Min Lee1, Sang Hoon Lee2, Ji Hyun Kim2
1Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine, Changwon, Korea.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
|December 24, 2024
概括
受影响的乳头结石 (IPS) 与非受影响的结石不同,与胰腺炎和感染有关. 在IPS中,周周分流管和较大的石头不太常见,有助于诊断.
科学领域:
- 胃肠病学 胃肠病学
- 内镜逆行胆血管细胞造影 (ERCP) 是一种内镜逆行胆血管细胞造影.
背景情况:
- 在十二指卵泡受影响的胆结石需要紧急进行内镜切除.
- 冲击性乳头结石 (IPS) 的临床特征与非冲击性普通胆道结石没有得到广泛的比较.
研究的目的:
- 为了比较受冲击的乳头结石 (IPS) 和没有冲击的普通胆道结石 (NIPS) 的临床特征.
主要方法:
- 从2017年到2023年对常见的胆管结石数据库的分析.
- 在IPS和NIPS组之间识别和比较临床特征.
主要成果:
- IPS与胰腺炎 (OR 3.78),胆道透十二指肠壁标志 (BPDS,OR 12.09) 和 (OR 27.05) 相关.
- 周周分流器 (OR 0.28) 和最大的石头大小≥10毫米 (OR 0.31) 与IPS相反相关.
- 在IPS和NIPS组中,选择性胆管管道成功率与IPS和NIPS组相似.
结论:
- 受影响的乳头结石与胰腺炎,BPDS和急性支性胆道炎有关.
- 在患有IPS的患者中,不太频繁地观察到周围脉冲分歧管和更大的石头大小.
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