中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2014年
12期
866-868
,共3页
张诚%杨玉龙%吴萍%马跃峰%张洪威%林美举%史力军%李婧伊%赵沐
張誠%楊玉龍%吳萍%馬躍峰%張洪威%林美舉%史力軍%李婧伊%趙沐
장성%양옥룡%오평%마약봉%장홍위%림미거%사력군%리청이%조목
胰管支架%内镜逆行胆胰管造影术%取石球囊%取石网篮%内移位
胰管支架%內鏡逆行膽胰管造影術%取石毬囊%取石網籃%內移位
이관지가%내경역행담이관조영술%취석구낭%취석망람%내이위
Pancreatic stent%Endoscopic retrograde cholangiopancreatography%Calculus removed balloon%Calculus removed basket%Proximal migration
目的 探讨内镜下胰管支架置入术后支架内移位的处理方法及安全性.方法 回顾性分析2011年5月至2014年5月我院245例内镜下胰管支架置人术后发生支架内移位的7例患者的临床资料.结果 内镜下胰管支架置入术后支架内移位发生率2.9％.其中支架移位至十二指肠乳头壶腹2例、移位至胰头部4例、移位至胰体部1例.7例内移位支架均成功取出,使用取石球囊取出5例,2例未取出的胰管支架使用取石网篮取出.术后出现高淀粉酶血症3例,药物治疗2～3d恢复正常.结论 胰管支架内移位是内镜下胰管支架置入术后罕见并发症,应用取石球囊及网篮取出内移位胰管支架是安全有效的.
目的 探討內鏡下胰管支架置入術後支架內移位的處理方法及安全性.方法 迴顧性分析2011年5月至2014年5月我院245例內鏡下胰管支架置人術後髮生支架內移位的7例患者的臨床資料.結果 內鏡下胰管支架置入術後支架內移位髮生率2.9％.其中支架移位至十二指腸乳頭壺腹2例、移位至胰頭部4例、移位至胰體部1例.7例內移位支架均成功取齣,使用取石毬囊取齣5例,2例未取齣的胰管支架使用取石網籃取齣.術後齣現高澱粉酶血癥3例,藥物治療2～3d恢複正常.結論 胰管支架內移位是內鏡下胰管支架置入術後罕見併髮癥,應用取石毬囊及網籃取齣內移位胰管支架是安全有效的.
목적 탐토내경하이관지가치입술후지가내이위적처리방법급안전성.방법 회고성분석2011년5월지2014년5월아원245례내경하이관지가치인술후발생지가내이위적7례환자적림상자료.결과 내경하이관지가치입술후지가내이위발생솔2.9％.기중지가이위지십이지장유두호복2례、이위지이두부4례、이위지이체부1례.7례내이위지가균성공취출,사용취석구낭취출5례,2례미취출적이관지가사용취석망람취출.술후출현고정분매혈증3례,약물치료2～3d회복정상.결론 이관지가내이위시내경하이관지가치입술후한견병발증,응용취석구낭급망람취출내이위이관지가시안전유효적.
Objective To investigate the treatment and safety of proximal migration of pancreatic stents after endoscopic retrograde pancreatic drainage.Methods A retrospective analysis was carried out on the clinical data of 7 patients with proximal migration of pancreatic stents among 245 patients who underwent endoscopic retrograde pancreatic drainage from May 2011 to May 2014 in our hospital.Results The rate of proximal pancreatic stent migration after endoscopic retrograde pancreatic drainage was 2.9％.There were 2 patients with the pancreatic stent migrated to the major ampulla vater,4 patients to the pancreatic head,and 1 patient to the pancreatic body.In 5 patients the stents were successfully removed by stone-removing balloons.In 2 patients the stents were successfully removed by stone-removing baskets.In 3 patients hyperamylasemia developed after the treatment and these patients responded to drug treatment within 2 ～ 3 days.Conclusions Proximal migration of pancreatic stent is a rare complication after endoscopic retrograde pancreatic drainage.It is safe and efficacious to remove the proximally migrated pancreatic stents by stone-removing balloons and baskets after endoscopic retrograde pancreatic drainage.
