老年患者胆道结石的皮肤穿透性肝胆胆镜性石:病例报告和技术摘要
Pan Liu1, Shun-Hai Liu1, Song Zhang2
1Department of Hepatobiliary Surgery, The First People's Hospital of Neijiang, Neijiang, Sichuan, China.
Frontiers in medicine
|December 29, 2025
概括
穿皮透肝胆道镜性石 (PTCSL) 为患有复杂胆道结石的老年患者提供安全有效的治疗方法. 这种技术成功地清除了高风险患者的石头,在一年内没有复发.
科学领域:
- 胃肠道学和肝病学
- 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:
- 管理患有复杂胆道结石和先前手术的老年患者是具有挑战性的.
- 透皮透肝胆镜性石 (PTCSL) 是一种新的治疗方法.
- 肝炎和胆固醇需要有效的治疗策略.
研究的目的:
- 评估PTCSL在复杂的老年患者中的疗效和安全性.
- 总结PTCSL临床实施的程序见解.
- 为广泛的肝病和胆固醇病提供一个成功的PTCSL病例.
主要方法:
- 进行了两步的PTCSL程序,以完全清除胆道结石.
- 该患者有多次腹部手术和冠状动脉支架植入的病史.
- 术前规划和仔细的仪器选择至关重要.
主要成果:
- 通过PTCSL实现了胆结石的完全清除.
- 在一年的随访期间,没有观察到石头的复发.
- 该程序被认为是安全和有效的高风险患者.
结论:
- 双阶段PTCSL对于患有复杂胆道结石和高风险因素的老年患者来说是一种安全有效的选择.
- 综合性的手术前规划可以提高手术的有效性和安全性.
- PTCSL提供了一个有价值的替代方案,用于挑战胆道结石病例.
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