介入治疗胆管支气管瘘疗效探讨(附3例分析)

Discussion on the Curative Effect of Interventional Treatment of Bronchobiliary Fistula (Analysis of 3 Cases)

目的 探讨介入治疗胆管支气管瘘(BBF)的初步疗效和安全性。方法 回顾性分析2013年7月至2018年10月经本科收治的3例获得性BBF患者的临床资料,临床均表现为发热、咳嗽、咳胆色素痰症状,结合患者症状体征、实验室检查及影像学检查确诊为BBF,在DSA引导下行经皮经肝胆管穿刺引流术(PTCD)及抗感染治疗。结果 3例患者手术均顺利,造影可见胆管与支气管相通,其中2例治愈,症状明显改善;1例死于肝功能衰竭。结论 介入治疗BBF初步疗效肯定、安全性高。

Objective To investigate the primary efficacy and safety of Bronchobiliary Fistula(BBF) with interventional therapy.Methods The clinical data of 3 patients with acquired BBF admitted to our department from July 2013 to August 2018 were retrospectively analyzed.All patients showed symptoms of fever,cough and biloptysis.Combined with symptoms and signs of the patients,laboratory examination and imaging examination,they were diagnosed as BBF.Percutaneous transhepatic cholangial drainage(PTCD) under the guidance of DSA and anti-infection treatment were performed.Results The operation of 3 patients was successful,and the cholangiography showed that the bile duct was connected with the bronchus.Among them,2 cases were cured with obvious improvement of symptoms,and 1 case died of liver failure.Conclusion Interventional treatment of biliary bronchial fistula is effective and safe.