高龄胆总管结石患者行经皮经肝穿刺Fogarty球囊推石的安全性和有效性分析  

Analysis of safety and efficacy of Fogarty balloon push the stone in elderly patients with choledocholithiasis after percutaneous transhepatic puncture

作　　者：李奋强[1] 李国强 唐小平 马雄伟 苏东君[1] 李更相 彭玉星 党磊[1] LI Fen-qiang;LI Guo-qiang;TANG Xiao-ping;MA Xiong-wei;SU Dong-jun;LI Geng-xiang;PENG Yu-xing;DANG Lei(Interventional Department,Lanzhou University First Affiliated Hospital,Lanzhou Gansu 730000)

机构地区：[1]兰州大学第一医院介入医学科,730000 [2]榆中县第一人民医院放射科,730100 [3]甘肃省陇南市第一人民医院影像科,742500 [4]静宁县人民医院介入科,743400

出　　处：《现代消化及介入诊疗》2022年第4期430-433,438,共5页Modern Interventional Diagnosis and Treatment in Gastroenterology

基　　金：甘肃省自然科学基金(21JR1RA084)。

摘　　要：目的分析高龄胆总管结石患者行经皮经肝穿刺Fogarty球囊推石的安全性和有效性。方法回顾性分析2014年8月至2019年12月兰州大学第一医院16例(男11例,女5例,年龄71~82岁,平均年龄77.2±3.4岁)高龄胆总管结石患者的临床资料。所有患者先行经皮经肝穿刺胆道造影,后行十二指肠乳头括约肌球囊扩张成形并用Fogarty球囊导管将结石推入十二指肠。结果技术成功率为93.8%,临床成功率100%。术后1例(6.8%)并发胆道炎,1例(6.8%)并发胆道炎合并腹水,2例(12.5%)并发胆道出血,无死亡病例。结论无法或拒绝内镜、外科手术治疗的高龄胆总管结石患者,行经皮经肝穿刺Fogarty球囊推石安全有效。Objective To investigate the safety and effectiveness of percutaneous transhepatic Fogarty balloon lithotripsy in elderly patients with common bile duct stones.Methods From August 2014 to December 2019,16 patients(11 males and 5 females,aged 71~82 years,with an average age of 77.2±3.4 years)with common bile duct stones were analyzed retrospectively.All patients underwent percutaneous transhepatic cholangiography,followed by duodenal papillary sphincter balloon dilatation,and the stones were pushed into the duodenum with Fogarty balloon catheter.Results Technical success rate was 93.8%,and clinical success rate was 100%.The complications involved cholangitis(1,6.8%),cholangitis and ascites(1,6.8%),hemobilia(1,12.5%)after removed stones.No patient was died during the whole follow up.Conclusion It is a feasible alternative treatment for patients with choledocholithiasis who are unable or unwilling to accept endoscopy or surgery.

关 键 词：胆总管 结石 球囊 

分 类 号：R575[医药卫生—消化系统]