口腔胆血管镜检测胆血管学遗漏的残留结石:系统性审查和元分析
Marcelo Klotz Dall'Agnol1, Mateus Bond Boghossian1, André Orsini Ardengh1
1Gastrointestinal Endoscopy Unit, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Endoscopy international open
|September 11, 2025
概括
口腔胆道透视 (POC) 检测到残留胆道结石在27%的患者在阴性胆道透视后. 数字系统为这些持久性结石提供了更高的检测率,确保了更好的胆管清除.
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.
- 胆道疾病 胆道疾病
背景情况:
- 在ERCP后,尽管胆道结石呈阴性,但其余的胆道结石可能会持续存在.
- 这些石头增加了复发和并发症的风险.
- 口腔胆血管镜 (POC) 可能有助于检测这些隐形石头.
研究的目的:
- 使用POC确定残留胆道结石的检测率.
- 为了分析检测到的剩余石头的特征.
- 评估基线患者特征和与POC相关的不良事件.
主要方法:
- 系统审查和对2024年8月之前发表的研究进行元分析.
- 包括经过阴性胆道血管学后接受POC的患者.
- 主要结果:聚合的残留石块检测率;次要结果:石块特征,不良事件和基线参数.
主要成果:
- 九项研究 (485项程序) 发现聚合后残留石块检测率为27%.
- 与其他系统相比,数字单操作员胆管镜检测率更高 (32%).
- 轻度不良事件发生在3%的病例中,没有严重的并发症.
结论:
- POC在超过四分之一的最初阴性胆道血管学患者中发现了残留的胆道结石.
- 数字胆管镜系统表现出卓越的检测能力.
- POC是一种安全的程序,可以确认完全清除胆道.
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