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儿科患者内镜逆行胆管缩治疗:一项多中心的回顾性研究

Sheng Ding¹, Jing-Qing Zeng¹, Zhao-Hui Deng²

¹Department of Gastroenterology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.

|August 27, 2025

概括

透视逆行胆道瘤学 (ERCP) 对于儿科胆道扩张 (BD) 有轻微并发症是有效的. 然而,在36个月以下的患者中,结果有限,因此需要对这一年龄组进行仔细考虑.

科学领域:

儿童胃肠病学
干预性内镜
胆道疾病

背景情况:

胆道扩张 (BD) 的传统治疗方法包括手术切除和胆道支.
儿童BD患者经常面临手术延迟.
这项研究评估了儿科BD的内镜逆行胆细胞造影 (ERCP).

研究的目的:

分析ERCP在儿科BD患者中的有效性.
在这个群体中发现ERCP的局限性.
根据患者特征对ERCP结果进行比较.

主要方法:

从两个中心回顾数据收集 (2018年6月至2022年6月).
根据Todani分类的患者.
临床特征,ERCP程序,并发症,有效性和限制的分析.

主要成果:

评估了77名患有症状的儿科BD患者;68. 8% 患有胰腺胆道形 (PBM).
在74. 0% (57/ 77) 的患者中,ERCP的有效率为75. 4%,并有轻微的并发症.
年轻患者 (< 36 个月) 和肝酶升高患者的ERCP反应较差.

结论:

儿科BD的ERCP是一种可行的选择,并可接受的并发症率.
在36个月以下的儿科BD患者中,治疗结果有限.
对于儿科BD的ERCP来说,仔细选择患者至关重要.

关键词:

胆道扩张内镜逆行胆细胞造影限制时间治疗方法

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