SpyGlass DS直视引导碎石术在胰管结石诊治中的疗效分析  

Therapeutic effect of direct vision-guided lithotripsy with SpyGlass DS for pancreatic duct stones

作　　者：王宏光[1] 陶丽莹 郭庆梅[1] 郭享[1] 刘时助 WANG Hongguang;TAO Liying;GUO Qingmei;GUO Xiang;LIU Shizhu(Department of Gastroenterology,Jilin People's Hospital,Jilin 132001,P.R.China)

机构地区：[1]吉林市人民医院消化内科,吉林132001

出　　处：《中国普外基础与临床杂志》2022年第2期157-161,共5页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：目的探讨SpyGlass DS直视引导碎石术在慢性钙化性胰腺炎并胰管结石所致胰管梗阻中的疗效。方法回顾性分析2017年7月至2021年9月期间于吉林市人民医院消化内科行SpyGlass DS直视引导胰管结石碎石术的9例慢性钙化性胰腺炎并胰管结石患者的临床资料,评估技术成功率、临床成功率和不良事件发生率。结果9例患者共进行13次干预,总体技术成功率(SpyGlass DS直视引导碎石术成功和胰管梗阻清除成功)为88.9%(8/9)。术后有3例(30.3%)出现不良反应,包括括约肌切开术后自限性出血1例和内镜逆行胰胆管造影术后胰腺炎2例,另有腹部轻微疼痛2例。9例患者共随访3~50个月,中位随访21个月。随访期间8例(88.9%)患者的腹痛症状有所改善,疼痛程度评分由术前的(6.22±1.47)分下降到术后的(2.78±1.23)分(P<0.01),8例患者(88.9%)获得了临床成功。结论在胰管结石患者中,SpyGlass DS直视引导碎石术是安全有效的。Objective To evaluate the efficacy of direct vision guided lithotripsy with SpyGlass DS in the treatment of pancreatic duct obstruction caused by chronic calcified pancreatitis and pancreatic duct stones.Methods The clinical data of 9 patients with chronic calcified pancreatitis and pancreatic duct stone who underwent direct-vision guided pancreatic duct stone lithotripsy with SpyGlass DS from July 2017 to September 2017 in the Department of Gastroenterology of Jilin People’s Hospital were retrospectively analyzed,then assessment of technical success rate,clinical success rate,and incidence of adverse event were performed.Results A total of 13 times of intervention were performed in 9 patients,the overall technical success rate of SpyGlass DS direct vision lithotripsy and drainage was 88.9%(8/9).Three of the 9 patients(30.3%)had adverse reactions,including self-limiting bleeding after sphincterotomy(n=1),post-encoscopic retrograde cholangio-pancreatography pancreatitis(n=2),and mild abdominal pain(n=2).Nine patients were followed-up for 3-50 months(median of 21 months),8 patients(88.89%)reported improvement in abdominal pain,and the mean visual analogue scale score decreased from 6.22±1.47 to 2.78±1.23,P<0.01.Eight patients(88.9%)patients achieved clinical success.Conclusion The SpyGlass DS direct vision-guided lithotripsy is safe and effective for patients with pancreatic duct stones.

关 键 词：胰管结石 SpyGlass DS 内镜逆行胰胆管造影 碎石术 

分 类 号：R657.5[医药卫生—外科学]