金属覆膜支架联合鼻胆管治疗内镜逆行胰胆管造影术Ⅲ型Stapfer穿孔的研究(附6例报告)

Analysis of 6 cases ERCP-related III Stapfer perforation in the bile duct successfully treated by placement of covered metal stents joint nasobiliary drainage

目的总结金属覆膜支架联合鼻胆管治疗内镜逆行胰胆管造影术(ERCP)Ⅲ型Stapfer穿孔的疗效及安全性。方法对ERCPⅢ型Stapfer穿孔患者放置金属覆膜胆道支架,支架内再放置鼻胆引流管,术后2~4周行支架取出术。结果 6例患者均好转出院,无开腹手术患者,有效率100.00%,无支架相关并发症发生。1例住院期间出现腹腔感染症状,发生率为16.67%。结论金属覆膜支架联合鼻胆管治疗ERCPⅢ型Stapfer穿孔的方法是安全有效的,值得临床推广应用。

Objective To summarize the efficacy and safety of covered metal stents joint nasobiliary drainage in treated with ERCP-related Ⅲ Stapler bile duct perforation. Method Covered metal stent were immediately placed with patients for ERCP-related Ⅲ Stapfer bile duct perforation. Then, nasobiliary drainage were placed. The stents were removed after 2 - 4 weeks. Result 6 patients were all improved, and no surgical patients. The effective rate was 100.00%. No stent related complications occurred. The symptoms of abdominal infection occurred in 1 patient during hospitalization, the rate was 16.67%. Conclusion The method of treatment for ERCP-related Ⅲ Stapler bile duct perforation was safe and effective, it was worthy of clinical popularization and application.