在肝硬化和高手术风险患者复杂胆囊炎的内透皮胆囊支架:一项观察性研究
Arka De1, Arpit Shastri1, Sweta Rose1
1Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Journal of clinical and experimental hepatology
|February 2, 2026
概括
内透皮胆囊支架 (ETGS) 为高风险肝硬化患者的复杂胆囊炎提供安全有效的治疗方法. 这种微创手术提供了高的技术和临床成功率,作为一种有价值的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 肝硬化和胆囊炎患者面临高手术风险.
- 对这些患者来说,内镜逆行胆血管细胞造影 (ERCP) 往往是适用的.
- 内透皮胆囊支架 (ETGS) 可以将患者桥接至胆囊切除术或提供长期胆囊排水.
研究的目的:
- 评估ETGS的技术可行性,临床结果和安全性.
- 评估ETGS复杂胆囊炎在高手术风险的肝硬化患者.
主要方法:
- 针对复杂胆囊炎接受ETGS的成年肝硬化患者的回顾性审查 (2021年1月至2025年3月).
- 对于ERCP的首要指示是带有或没有胆道炎的胆道胆病.
- 结果包括技术成功,临床成功,手术时间,安全性,症状复发和无胆道事件生存率.
主要成果:
- 在40名患者中,技术成功达到了85%;在技术成功患者中,临床成功达到了97%.
- 6个月和12个月的无胆病事件生存率分别为94%和86.7%.
- 轻度不良事件发生在5%的患者中,在一个或两个支架之间的结果没有显著差异.
结论:
- ETGS是一种技术上可行且安全的治疗选择,用于肝硬化患者复杂胆囊炎的治疗.
- 该程序显示了高临床成功和有利的中期结果.
- 对于患有胆囊问题的高风险手术候选人来说,ETGS是一种有价值的治疗方法.
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