肝液收集的内镜超声波引导排水:从一系列病例的见解
Ankita Nekkanti1, Harishankar Gopakumar2, Muhammad Asghar2
1Department of Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, IL, USA.
Case reports in gastroenterology
|August 8, 2025
概括
带有光对立金属支架 (LAMS) 的内镜超声波引导排水为复杂的肝液收集提供了不那么侵入性的治疗方法. 这一基于美国的病例系列证明了感染性肝囊和症状性囊的成功结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝囊可以引起由于感染,破裂或质量效应的症状.
- 传统的治疗方法包括排水,脱皮或切除.
- 以内镜超声波 (EUS) 引导的排水与光对立金属支架 (LAMS) 是一个新兴的替代方案.
研究的目的:
- 介绍一系列在美国治疗复杂肝液采集的EUS引导LAMS患者的病例.
- 评估EUS指导的LAMS安置肝囊和血液瘤的疗效和安全性.
主要方法:
- 三名肝液收集患者接受了EUS引导排水.
- 在受感染的肝囊,受感染的血瘤和症状简单的肝囊中放置了光线施加金属支架 (LAMS).
- 临床成功被定义为囊的解脱或显著的大小减少.
主要成果:
- 在这三名患者中,LAMS安置成功.
- 所有患者都经历了临床成功,液体收集大小的解决或显著减少.
- 摘除支架后的随访成像或在支架仍在位的情况下,没有观察到复发.
结论:
- 以EUS指导的LAMS安置是一种对症状/感染性肝液收集的不那么侵入性和可行的治疗方法.
- 在拥有EUS专业知识的中心,这种技术可能更好.
- 需要进一步的研究来确定其作为一线干预的作用.
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