皮肤透过肝胆囊排水与皮肤透过肝胆道排水对于阻塞性黄的结果
Tetsushi Azami1, Yuichi Takano1, Naoki Tamai1
1Department of Medicine, Division of Gastroenterology, Showa University Fujigaoka Hospital, Yokohama, Japan.
PloS one
|February 24, 2025
概括
皮肤透过肝胆囊排水 (PTGBD) 在阻塞性黄中提供与皮肤透过肝胆道排水 (PTBD) 相似的结果. 当PTBD不可行时,PTGBD是一种可行的替代方案,表现出类似的成功率和并发症率.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道手术 肝胆道手术
- 胃肠病学 胃肠病学
背景情况:
- 阻塞性黄需要有效的胆道疏通程序.
- 皮肤透肝胆道排水 (PTBD) 是一种标准的治疗方法.
- 穿皮透肝胆囊排水 (PTGBD) 为特定的解剖学挑战提供了一个替代方案.
研究的目的:
- 追溯评估PTGBD与PTBD在治疗阻塞性黄方面的临床效用.
- 为了比较PTGBD和PTBD之间的技术成功,临床成功和并发症率.
- 为了确定PTGBD是否是一个合适的替代品,当PTBD不适合或不可行时.
主要方法:
- 追溯分析55名接受PTGBD或PTBD阻塞性黄和急性胆道炎的患者.
- 主要选择的是PTBD; PTGBD是根据特定的肝内胆道直径和可变性标准进行选择的.
- 排除标准包括胆道狭窄,后胆固醇胆,复杂胆囊炎,低胆红素和出血倾向.
主要成果:
- 技术成功率:PTGBD 96.3% (26/27) 与PTBD 82.1% (23/28) 相比.
- 临床成功率:PTGBD 85.2% (23/27) 和PTBD 67.9% (19/28). 临床成功率:PTGBD 85.2% (23/27) 和PTBD 67.9% (19/28). 临床成功率:PTGBD 85.2% (23/27) 和PTBD 67.9% (19/28). 临床成功率:PTGBD 85.2% (23/27) 和PTBD 67.9% (19/28).
- 并发症率:PTGBD 18.5% (5/27) 与PTBD 25.0% (7/28) 相比;在任何一组中都没有报告严重并发症.
结论:
- 在患有阻塞性黄的患者中,PTGBD的结果与PTBD相似.
- 在这个群体中,PTGBD的技术和临床成功率更高.
- 当PTBD不可行时,PTGBD是阻塞性黄的合理和有效的治疗选择.
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