完全胆总管内留置全覆膜金属支架对良性胆管狭窄的疗效评价  

Effect of fully covered self-expandable metal stents completely inserted into the common bile duct in the treatment of benign biliary stricture

作　　者：张诚 杨玉龙 何川琦[1] Zhang Cheng;Yang Yulong;He Chuanqi(Cholelithiasis Center,Shanghai East Hospital Affiliated to Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院胆石病中心,上海200120

出　　处：《中华医学杂志》2022年第30期2374-2377,共4页National Medical Journal of China

基　　金：浦东新区临床特色学科基金(PWYts2021-06)。

摘　　要：目的探讨完全胆总管内留置全覆膜金属支架(FCSEMS)治疗良性胆管狭窄(BBS)的安全性和有效性。方法回顾性分析2018年12月至2020年12月于同济大学附属东方医院接受FCSEMS治疗的22例BBS患者的临床资料,其中男12例,女10例,年龄(50.9±8.6)岁。随访观察FCSEMS治疗效果及相关并发症,结果22例FCSEMS置入均成功,FCSEMS留置(221.9±19.8)d,无肝脓肿、急性胆管炎、胆总管堵塞等肠胆反流并发症。支架近端移位2例(9.1%,2/22),操作时间分别为62 min和115 min;20例(90.9%)无移位,操作时间(29.7±6.3)min。随访16.0(8.0,25.3)个月,狭窄无复发。结论完全胆管内留置FCSEMS是治疗BBS的一种有效方法,可避免肠胆反流的发生。Objective To investigate the safety and efficacy of fully covered self-expandable metal stents(FCSEMS)completely inserted into the common bile duct in the treatment of benign biliary stricture(BBS).Methods From December 2018 to December 2020,22 cases of BBS treated by FCSEMS completely inserted into the common bile duct were analyzed retrospectively in the cholelithic center of Shanghai East Hospital Affiliated to Tongji University,including 12 males and 10 females,with average ages of(50.9±8.6)years.Results All 22 cases of FCSEMS insertion were successful.The average indwelling time was(221.9±19.8)d.There were no complications of enterobiliary reflux such as liver abscess,acute cholangitis,and common bile duct obstruction.FSCEMS proximal displacement occurred in 2 cases(9.1%)with the removal time of 62 min and 115 min,respectively.There was no FCSEMS proximal displacement in 20 cases(90.9),with an average removal time of(29.7±6.3)min.All the 22 cases were followed up for 16.0(8.0,25.3)months,and there was no recurrence of stenosis.Conclusion FCSESM completely inserted into the common bile duct is an effective method for the treatment of BBS,which can avoid the occurrence of enterobiliary reflux.

关 键 词：胆管疾病 胆管狭窄 胰胆管造影术 内窥镜逆行 金属支架 并发症 

分 类 号：R657.4[医药卫生—外科学]