[使用内支架治疗胆总管残留结石的结果]
[Results of the use of endoprostheses in the treatment of retained common bile duct stones].
作者信息
De Palma G D, Galloro G, Siciliano S, Magno L, Catanzano C
机构信息
Servizio Centralizzato di Endoscopia Digestiva Operatoria, Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Facoltà di Medicina e Chirugia, Università degli Studi Federico II, Napoli.
出版信息
Minerva Chir. 2000 Dec;55(12):823-7.
BACKGROUND
The value of endoprostheses for long term management of bile duct stones has not been formally established. A retrospective evaluation of results and complications of the insertion of biliary endoprostheses was performed in patients with endoscopic irretrievable bile duct stones.
METHODS
From January 1990 to September 1999, 52 patients (19 men and 33 women; average age 76 years), underwent endoscopic biliary stenting for endoscopically irretrievable bile duct stones.
RESULTS
Successful biliary drainage was achieved in 50/52 (96.1%) patients. Early complications occurred in 11.5% of cases. Over the long term follow-up (average follow-up = 39.5 months) late complications occurred in 40.8% of cases, with 3 cases of biliary-related death.
CONCLUSIONS
For immediate bile duct drainage, endoprostheses proved a safe and effective alternative for treatment of patients with endoscopically irretrievable bile duct stones. Because of the risk of subsequent complications, its use as a definitive treatment should be confirmed to highly selected cases.
背景
胆管结石长期管理中内置假体的价值尚未得到正式确立。对内镜下无法取出的胆管结石患者置入胆道内置假体的结果及并发症进行了回顾性评估。
方法
1990年1月至1999年9月，52例患者（19例男性，33例女性；平均年龄76岁）因内镜下无法取出的胆管结石接受了内镜下胆道支架置入术。
结果
52例患者中有50例（96.1%）成功实现胆管引流。早期并发症发生率为11.5%。在长期随访（平均随访39.5个月）中，晚期并发症发生率为40.8%，有3例与胆道相关的死亡病例。
结论
对于立即进行胆管引流，内置假体被证明是治疗内镜下无法取出的胆管结石患者的一种安全有效的替代方法。由于存在后续并发症的风险，其作为确定性治疗方法的应用应仅限于经过严格筛选的病例。
Zotero 插件