内镜超声引导下胆道穿刺引流技术的应用  

Application of endoscopic ultrasound guided biliary drainage technology

作　　者：王晟[1] 孙思予[1] 刘香[1] 葛楠[1] 郭瑾陶[1] 刘文[1] 王树朋[1] 胡金龙[1] 

机构地区：[1]中国医科大学附属盛京医院内镜中心,沈阳110004

出　　处：《中华消化内镜杂志》2015年第6期378-381,共4页Chinese Journal of Digestive Endoscopy

摘　　要：目的评价经内镜逆行胰胆管造影术（ERCP）治疗失败的胆道梗阻患者行内镜超声引导下胆道穿刺引流（EUS-BD）的疗效及安全性。方法回顾性总结2014年8月至2015年1月期间，8例ERCP引流失败后行EUS-BD的胆道梗阻患者的临床资料，分析EUSBD的疗效及并发症发生情况。结果8例均操作成功，于胆道与消化道之间顺利放置全覆膜金属支架，解除胆道梗阻，且术后恢复良好，无明显并发症发生。结论EUS—BD是一种安全、有效的胆道引流方式，可以作为ERCP失败后的备用治疗方案。Objective To evaluate the effectiveness and safety of endoscopic ultrasound guided bili- ary drainage （EUS-BD）technology for biliary obstruction where ERCP（ endoscopic retrograde cholangiopan- creatography） failed. Methods EUS-BD was performed on 8 patients with biliary obstruction after failure of ERCP. Clinical data were collected, and effectiveness and complications of EUS-BD were analysed. Results Procedures were performed successfully on 8 patients. Full covered metallic stentts were placed be- tween biliary and digestive tract to relieve biliary obstruction, and all patients recovered with no complica- tions. Conclusion EUS-BD is a safe and effective way for the biliary drainage, and it can be used as a standby treatment after the failure of ERCP.

关 键 词：腔内超声检查 内镜胆管引流 穿刺术 金属支架 

分 类 号：R657.4[医药卫生—外科学]