以EUS为指导的胆道排水的学习曲线:系统性审查和元分析
Ishaan Vohra1, Harishankar Gopakumar1, Navjit Singh1
1Department of Gastroenterology and Hepatology, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
内镜逆行胆血管细胞造影 (ERCP) 越来越多地被内镜超声波引导胆道排水 (EUS-BD) 取代. 在EUS-BD中获得熟练程度约为35个程序,为安全实践推60个监督案例.
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.
背景情况:
- 透视式超声引导胆管排水 (EUS-BD) 是ERCP的一个新兴替代方案.
- 在胆道排水方面,EUS-BD的疗效和安全性与ERCP相美.
研究的目的:
- 调查EUS-BD的技术和临床成功.
- 定义EUS-BD程序的学习曲线.
主要方法:
- 从2003年1月到2022年11月进行了系统的文献搜索.
- 计算了技术成功,临床成功和不良事件的整体比例.
主要成果:
- 在大约35个程序中,获得了EUS-BD的熟练程度.
- 聚合技术成功率为92.45%,临床成功率为84.84%.
- 副作用发生在18.46%的病例中,66次手术后显著减少.
结论:
- 在独立实践之前,建议至少进行60次监督的EUS-BD程序.
- 本建议旨在提高程序安全和操作人员的熟练程度.
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