在内镜超声波引导胆囊排水过程中,使用双尾塑料支架输送系统进行活跃胆囊洗 (带视频)
Tesshin Ban1, Yoshimasa Kubota1, Kei Ando1
1Department of Gastroenterology and Hepatology Gamagori City Hospital Aichi Japan.
DEN open
|November 20, 2025
概括
以内镜超声波引导的胆囊排水,使用带有活跃洗的双尾塑料支架,是急性胆囊炎患者的安全有效选择. 这种技术显示出高的成功率和没有不良事件,从而保留了未来的手术选择.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 医疗器械 医疗器械
背景情况:
- 用金属支架进行内镜式超声波引导胆囊排水 (EUS-GBD) 对于患有急性胆囊炎的脆弱患者是首选的,但引起了对组织反应和手术影响的担忧.
- 双猪尾塑料支架 (DPPS) 提供了一个替代方案,但从解位的泄漏仍然是一个挑战.
研究的目的:
- 在EUS-GBD期间使用特定的DPPS系统评估活跃胆囊洗技术的可行性和安全性.
- 评估这种技术在患有急性胆囊炎的患者中是否有效,这些患者可能是随后腹腔镜胆囊切除术 (Lap-C) 的候选人.
主要方法:
- 一个单臂回顾性研究,涉及患有急性胆囊炎的患者接受EUS-GBD.
- 使用DPPS系统,集成洗功能,通过将内收缩到"半身后方位置"来进行活跃的胆囊灌.
- 患者被评估临床和绩效状态恢复,Lap-C被认为是最后的选择.
主要成果:
- 高技术成功率为97.3% (36/37) 和100%的临床成功率 (36/36).
- 平均手术持续时间为25分钟,洗时间为8分钟.
- 没有报告任何不良事件,9名接受选择性拉皮手术的9名患者 (25.0%) 不需要转换为开放手术.
结论:
- 在EUS-GBD期间使用DPPS系统的活性胆囊洗技术是一种可行的和可接受的程序.
- 这种方法为治疗急性胆囊炎提供了安全有效的替代方案,特别是在可能受益于随后手术干预的患者中.
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