经皮经肝十二指肠乳头肌扩张顺行排石术治疗胆总管结石临床分析  

Clinical analysis of percutaneous transhepatic papillary balloon dilation in the treatment of common bile duct stone

作　　者：沈为光 江晓冬 梁黎 金杰[1] SHEN Weiguang;JIANG Xiaodong;LIANG Li;JIN Jie(Department of Interventional,the Second Affiliated Hospital of Nantong University,Nantong,Jiangsu Province 226006,China)

机构地区：[1]南通大学第二附属医院介入科,江苏南通226006

出　　处：《实用放射学杂志》2025年第3期471-473,500,共4页Journal of Practical Radiology

基　　金：南通市卫生健康委员会科研项目(QNZ2022018)。

摘　　要：目的 探讨行经皮经肝十二指肠乳头肌扩张顺行排石术(PTPBD)治疗胆总管结石(CBDS)的临床疗效.方法 回顾性分析在数字减影血管造影(DSA)下行PTPBD治疗CBDS患者的相关资料,分析其安全性及有效性.结果 50例患者中术后出现不同程度腹痛3例,出血2例,发热2例,无胆管或肠管穿孔、胰腺炎严重手术相关并发症发生.45例(90.00%)成功实施PTPBD治疗,5例技术失败,均因结石过大(>20 mm)所致.结论 PTPBD是一种技术成功率高、安全且有效的微创治疗CBDS方法,特别适合于高龄、基础疾病多、不能耐受外科手术及内镜无合适路径的患者,值得临床推广.Objective To investigate the clinical effect of percutaneous transhepatic papillary balloon dilation(PTPBD)in the treatment of common bile duct stone(CBDS).Methods The relevant data of patients treated with PTPBD for CBDS under digital subtraction angiography(DSA)were analyzed retrospectively,and its safety and effectiveness were analyzed.Results Among the 50 patients,there were 3 cases of abdominal pain,2 cases of bleeding,2 cases of fever,and no serious complications related to bile duct or intestinal perforation or pancreatitis.45 cases(90.00%)were successfully treated with PTPBD,while other 5 cases experienced technical failure due to excessive stone size(>20 mm).Conclusion PTPBD is a safe,effective,and minimally invasive treatment for CBDS with a high success rate,which is especially suitable for the patients with older age,multiple underlying diseases,inability to tolerate surgical procedure,and without suitable endoscopic pathways,and the method is worthy of clinical promotion.

关 键 词：胆总管结石 经皮经肝十二指肠乳头肌扩张顺行排石术 数字减影血管造影 

分 类 号：R575.62[医药卫生—消化系统] R815[医药卫生—内科学]