通过皮肤放置的金属胆汁支架对恶性阻塞的并发症:系统审查
Jonathan Bock1, Christopher J Reisenauer2, Michael C Jundt2
1Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN, United States.
Frontiers in radiology
|August 21, 2025
概括
对恶性胆道阻塞的穿皮金属胆道支架的安置显示出高的成功率. 虽然近19%的患者出现并发症,但大多数是轻微的,这表明安全性很好.
科学领域:
- 干预性放射学
- 胃肠病学
- 癌症学
背景情况:
- 恶性胆道阻塞带来了重大挑战.
- 穿皮金属支架用于缓解和治疗.
研究的目的:
- 系统地审查穿透性和皮金属胆管支架的并发症.
- 评估恶性胆道阻塞的结果.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在EMBASE和PubMed的文献搜索 (891篇文章被选,包括18篇).
- 使用纽卡斯尔-太华尺度进行质量评估;提取人口统计数据,成功和并发症.
主要成果:
- 包括1453名患者;加权技术成功率为97. 7%.
- 13. 5% 的患者出现了支架封闭; 19. 1% 的患者出现并发症 (87 种严重).
- 常见的并发症:胰腺炎 (6. 4%),胆管炎 (4. 8%),出血 (4. 4%);与手术相关的死亡率为0. 4%.
结论:
- 穿皮金属支架在恶性胆道阻塞方面取得了很高的技术成功.
- 观察到低率的支架封闭和可管理的并发症.
- 大多数并发症都是轻微的,
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