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用内镜超声波引导的胰腺管道排水:进展情况和未来前景

Si-Yao Wang¹, Si-Qiao Zhao², Shu-Peng Wang³

¹Department of Gastroenterology, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

World journal of gastrointestinal surgery

|June 12, 2025

概括

透视式超声导向胰腺管道排水 (EUS-PD) 为胰腺管道高血压提供了安全有效的替代方案,其成功率高,并与手术相比并发症较少. 进一步的研究旨在将其确立为首选的治疗策略.

科学领域:

胃肠道学和内镜干预
先进的成像和干预技术.

背景情况:

胰腺管道高血压综合征是一个重大的临床挑战.
传统的内镜逆行胆血管细胞造影 (ERCP) 在复杂的病例中可能会失败.
以内镜超声波引导的胰腺管道排水 (EUS-PD) 已成为一种创新的内镜干预措施.

研究的目的:

系统地审查EUS-PD对胰腺管道高血压的临床效用.
检查EUS-PD的指示,适应症,方案和并发症管理.
探索EUS-PD程序标准化的进展和未来方向.

主要方法:

对EUS-PD.现有的文献进行系统审查.
与传统方法相比,分析技术成功率,并发症概况和诊断准确度.
评估解剖路径选择 (跨胃与跨腹腔) 和辅助技术.

主要成果:

在恶性阻塞和慢性胰腺炎狭窄方面,EUS-PD的技术成功率为82%-95%.
整体并发症率 (15%-20%) 低于手术干预.
EUS-PD提供了卓越的解剖视觉化,改善了良性与恶性狭窄的区分 (91%对73%的灵敏度).

结论:

EUS-PD是胰腺管高血压的安全有效替代方案,特别是在ERCP失败时.
通过多中心注册和RCT解决技术挑战和标准化协议至关重要.
在胰腺疾病管理中,EUS-PD有可能从替代性转变为首选策略.

关键词:

内分泌超声波 (endosonography) 是一种超声波.内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.用内镜超声波引导的胰腺排水系统.胰腺管道胰腺管道治疗性内镜超声波疗法

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