内镜超声引导下胆道引流术治疗恶性梗阻性黄疸的应用*

Endoscopic ultrasound-guided biliary drainage in the treatment of malignant biliary obstruction*

摘要:

摘要：目的??评价内镜超声引导下胆道穿刺引流（EUS-BD）治疗恶性胆道梗阻（MBO）的临床疗效及安全性。方法?回顾性分析2016年1月－2019年1月该院行EUS-BD术治疗恶性梗阻性黄疸的21例患者的临床资料，探讨EUS-BD的疗效以及不良事件的发生情况。结果?所有患者均接受了EUS-BD手术，16例获得技术成功（76.19%），其中15例（71.43%）获得临床治疗黄疸的效果，共发生3例不良事件（14.29%），该3例均在后续治疗中康复。结论?EUS-BD是安全、有效的胆道引流方式，是ERCP失败后治疗MBO的可靠方式。

Abstract:

Abstract: Objective?To evaluate the clinical efficacy and safety of endoscopic ultrasound-guided biliary drainage in patients with malignant distal biliary obstruction.?Methods?Retrospectively summarize the clinical data of 21 patients with MBO treated by EUS-BD.?Results?21 patients underwent EUS-BD and technical success was achieved in 16 patients (76.19%). Clinical success was achieved in 15 patients (71.43%), and 3 adverse events (14.29%) occurred, all of which recovered in the follow-up treatment.?Conclusion?This study on EUS-BD demonstrates excellent efficacy and safety of EUS-BD on MBO after ERCP failed.