中华胰腺病杂志
中華胰腺病雜誌
중화이선병잡지
CHINESE JOURNAL OF PANCREATOLOGY
2013年
2期
95-97
,共3页
张迎春%麻树人%杨卓%高飞%赵志峰%张宁%高峰%宫照杰%金晓龙
張迎春%痳樹人%楊卓%高飛%趙誌峰%張寧%高峰%宮照傑%金曉龍
장영춘%마수인%양탁%고비%조지봉%장저%고봉%궁조걸%금효룡
慢性胰腺炎%Soehendra取架器%胰胆管造影术,内窥镜逆行%胰管狭窄%扩张术
慢性胰腺炎%Soehendra取架器%胰膽管造影術,內窺鏡逆行%胰管狹窄%擴張術
만성이선염%Soehendra취가기%이담관조영술,내규경역행%이관협착%확장술
Chronic pancreatitis%Soehendra stent retriever%Cholangiopancreatography,endoscopic retrograde%Pancreatic duct stricture%Dilatation
目的 探讨Soehendra取架器在慢性胰腺炎胰管狭窄患者中的应用价值.方法 2010年1月至2012年10月沈阳军区总医院内镜科对胰管狭窄患者行治疗性内镜下逆行胰胆管造影术(ERCP)时常规先行扩张探条扩张,如扩张探条不能通过狭窄段,则采用Soehendra取架器扩张.结果 共治疗297例胰管狭窄患者,其中11例(3.7％)患者扩张探条扩张失败,改用Soehendra取架器扩张狭窄段.11例患者中男性7例,女性4例,年龄31 ～ 74岁,平均(53±3)岁.ERCP造影示胰头颈部狭窄9例,胰体狭窄2例,伴有胰腺假性囊肿1例.治疗过程中使用Soehendra取架器扩张胰管狭窄段均获得成功,无相关并发症发生.术后1个月患者的疼痛程度根据视觉模拟量表(VAS)进行评分,从(3.78±o.83)分下降到(1.56±0.73)分,差异具有统计学意义(t=6.03,P=0.00).结论 运用Soehendra取架器扩张胰管狭窄段是安全、有效的.
目的 探討Soehendra取架器在慢性胰腺炎胰管狹窄患者中的應用價值.方法 2010年1月至2012年10月瀋暘軍區總醫院內鏡科對胰管狹窄患者行治療性內鏡下逆行胰膽管造影術(ERCP)時常規先行擴張探條擴張,如擴張探條不能通過狹窄段,則採用Soehendra取架器擴張.結果 共治療297例胰管狹窄患者,其中11例(3.7％)患者擴張探條擴張失敗,改用Soehendra取架器擴張狹窄段.11例患者中男性7例,女性4例,年齡31 ～ 74歲,平均(53±3)歲.ERCP造影示胰頭頸部狹窄9例,胰體狹窄2例,伴有胰腺假性囊腫1例.治療過程中使用Soehendra取架器擴張胰管狹窄段均穫得成功,無相關併髮癥髮生.術後1箇月患者的疼痛程度根據視覺模擬量錶(VAS)進行評分,從(3.78±o.83)分下降到(1.56±0.73)分,差異具有統計學意義(t=6.03,P=0.00).結論 運用Soehendra取架器擴張胰管狹窄段是安全、有效的.
목적 탐토Soehendra취가기재만성이선염이관협착환자중적응용개치.방법 2010년1월지2012년10월침양군구총의원내경과대이관협착환자행치료성내경하역행이담관조영술(ERCP)시상규선행확장탐조확장,여확장탐조불능통과협착단,칙채용Soehendra취가기확장.결과 공치료297례이관협착환자,기중11례(3.7％)환자확장탐조확장실패,개용Soehendra취가기확장협착단.11례환자중남성7례,녀성4례,년령31 ～ 74세,평균(53±3)세.ERCP조영시이두경부협착9례,이체협착2례,반유이선가성낭종1례.치료과정중사용Soehendra취가기확장이관협착단균획득성공,무상관병발증발생.술후1개월환자적동통정도근거시각모의량표(VAS)진행평분,종(3.78±o.83)분하강도(1.56±0.73)분,차이구유통계학의의(t=6.03,P=0.00).결론 운용Soehendra취가기확장이관협착단시안전、유효적.
Objective To evaluate the efficacy of Soehendra stent retriever for chronic pancreatitis patients with strictures of pancreatic duct.Methods Between January 2010 and October 2012,chronic pancreatitis patients with strictures of pancreatic duct underwent ERCP in Department of Endoscopy,General Hospital of Shenyang Command,and dilation was first attempted by using a dilating catheter.If the stricture could not be traversed,the Soehendra stent retriever was inserted over the wire to dilate the stricture.Results Two handreds and seven patients were included and 11 (3.7％) patients underwent Soehendra stent retriever dilation after failure of dilating catheter.Among the 11 patients,there were 7 men and 4 women with a mean age of 53 ± 3 years old (range 31 ～ 74).ERCP showed 9 cases of pancreatic head stricture,2 cases of pancreatic body stricture,and one patient was complicated with pancreatic pseudocysts.The Soehendra stent retriever was successfully used to dilate the stricture in all patients,and no complication occurred.The VAS pain score was decreased from 3.78 ± 0.83 to 1.56 ± 0.73 (t =6.03,P =0.00).Conclusions Soehendra stent retriever is safe and effective for pancreatic duct strictures dilation.
