儿童胆管结石的经皮治疗：12例结果
Percutaneous management of bile duct stones in children: results of 12 cases.
作者信息
Özcan Nevzat, Kahrıman Güven, Görkem Süreyya Burcu, Arslan Duran
机构信息
Department of Radiology, Erciyes University School of Medicine, Gevher Nesibe Hospital, Kayseri, Turkey.
出版信息
Diagn Interv Radiol. 2017 Mar-Apr;23(2):133-136. doi: 10.5152/dir.2016.16178.
PURPOSE
We aimed to evaluate the effectiveness of percutaneous transhepatic removal of bile duct stones in children.
METHODS
The study included 12 pediatric patients (4 males, 8 females; age range, 1-16 years; mean age, 6.6 years) who underwent percutaneous transhepatic removal of bile duct stones between September 2007 and December 2015. Demographic data, patient symptoms, indications for interventions, technical and clinical outcomes of the procedure, and complications were retrospectively evaluated.
RESULTS
Of 12 children, five children with cholelithiasis underwent cholecystectomy subsequently. The overall technical and clinical success rate was 100%. One patient had cholangitis as a complication during the follow-up and was treated medically.
CONCLUSION
Percutaneous transhepatic removal of bile duct stones is a safe and effective method for the treatment of children with biliary stone disease. It is a feasible alternative when the endoscopic procedure is unavailable or fails.
目的
我们旨在评估经皮经肝取除儿童胆管结石的有效性。
方法
该研究纳入了2007年9月至2015年12月期间接受经皮经肝取除胆管结石的12例儿科患者（4例男性，8例女性；年龄范围1至16岁；平均年龄6.6岁）。对人口统计学数据、患者症状、干预指征、手术的技术和临床结果以及并发症进行了回顾性评估。
结果
12例儿童中，5例胆石症患儿随后接受了胆囊切除术。总体技术和临床成功率为100%。1例患者在随访期间出现胆管炎并发症并接受了药物治疗。
结论
经皮经肝取除胆管结石是治疗儿童胆石症的一种安全有效的方法。在内镜手术不可行或失败时，它是一种可行的替代方法。
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