超声引导下经上消化道引流胰周液103例分析

中华消化内镜杂志 Pub Date : 2019-03-20 DOI:10.3760/CMA.J.ISSN.1007-5232.2019.03.006

Yonghua Shen, Hao Zhu, Lei Wang, Ying Lyu, X. Zou

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引用次数: 0

摘要

目的探讨超声内镜引导下经上消化道引流术在胰周液收集中的应用价值。方法回顾性分析2006年5月至2017年7月南京鼓楼医院经eus引导下经上消化道引流的103例胰周液患者的临床资料，总结治疗方法及术后并发症。结果103例患者中，101例(98.1%)穿刺成功，97.1%(100/103)穿刺胃壁。金属支架置入29例，塑料支架置入66例。10例患者行ERCP伴胰腺支架置入术。术后经皮引流8例，手术引流1例。发生并发症14例(13.6%)，其中支架移位5例，术后感染9例。无穿孔、出血、胰瘘、其他严重并发症或死亡。结论eus引导引流术用于胰周液采集安全可靠。关键词:超声;胰周液收集;排水;效率;安全

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Endoscopic ultrasound-guided drainage via upper gastrointestinal tract for peripancreatic fluid collection: an analysis of 103 cases

Objective To investigate the value of endoscopic ultrasound (EUS)-guided drainage via upper gastrointestinal tract for peripancreatic fluid collection. Methods The clinical data of 103 patients with peripancreatic fluid collection undergoing EUS-guided drainage via upper gastrointestinal tract from May 2006 to July 2017 in Nanjing Drum Tower Hospital were retrospectively analyzed, the treatment and postoperative complications were summarized. Results Among the 103 patients, 101 (98.1%) were punctured successfully, and patients were punctured mostly through the gastric wall (97.1%, 100/103). There were 29 cases of metal stent placement, and 66 plastic stent placement. Ten patients underwent ERCP with pancreatic stent placement. After operation, 8 patients underwent percutaneous drainage, and 1 surgical drainage. Complications occurred in 14 (13.6%) cases, including stent displacement in 5 cases, and postoperative infection in 9 cases. There was no perforation, bleeding, pancreatic fistula, other serious complications or death. Conclusion EUS-guided drainage is safe and reliable for peripancreatic fluid collection. Key words: Endosonography; Peripancreatic fluid collection; Drainage; Efficiency; Safety

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来源期刊

中华消化内镜杂志

CiteScore

0.10

自引率

0.00%

发文量

7555

期刊介绍： Chinese Journal of Digestive Endoscopy is a high-level medical academic journal specializing in digestive endoscopy, which was renamed Chinese Journal of Digestive Endoscopy in August 1996 from Endoscopy. Chinese Journal of Digestive Endoscopy mainly reports the leading scientific research results of esophagoscopy, gastroscopy, duodenoscopy, choledochoscopy, laparoscopy, colorectoscopy, small enteroscopy, sigmoidoscopy, etc. and the progress of their equipments and technologies at home and abroad, as well as the clinical diagnosis and treatment experience. The main columns are: treatises, abstracts of treatises, clinical reports, technical exchanges, special case reports and endoscopic complications. The target readers are digestive system diseases and digestive endoscopy workers who are engaged in medical treatment, teaching and scientific research. Chinese Journal of Digestive Endoscopy has been indexed by ISTIC, PKU, CSAD, WPRIM.