内镜逆行胰胆管造影术治疗胆总管结石合并人类免疫缺陷病毒感染的临床分析(附12例报告)

Analysis of choledocholithiasis combining HIV infection treated by ERCP(12 cases)

目的探讨分析内镜逆行胰胆管造影术(ERCP)治疗胆总管结石合并人类免疫缺陷病毒(HIV)感染的疗效。方法回顾性分析2017年9月-2021年7月杭州市西溪医院消化内科12例胆总管结石合并HIV感染患者的临床资料,结合国内外相关文献,分析其疗效及特殊注意事项。结果12例患者经ERCP取石均成功。4例留置胆总管内支架,8例留置鼻胆管后行胆囊切除术。1例出现ERCP术后胰腺炎,经治疗后好转。所有患者无穿孔、出血和感染等严重并发症发生。结论ERCP治疗胆总管结石合并HIV感染有较好的临床疗效,但需要警惕特殊并发症,内镜洗消及院感防护应得到重视。

Objective To investigate the efficacy of endoscopic retrograde cholangiopancreatography(ERCP)in treatment of choledocholithiasis combining human immunodeficiency virus(HIV)infection.Method Clinical data of 12 patients with choledocholithiasis combining HIV infection treated by ERCP from September 2017 to July2021 were retrospectively analyzed,the efficacy and precaution were found after integrating the relevant literatures.Result The removal of the stones by ERCP were successful in all these patients.4 patients were placed with the stent in common bile duct,8 patients were indwelled the nasobiliary duct,and then underwent cholecystectomy.There was 1 patient suffered pancreatitis after ERCP,which was improved after conservative medical treatment.There was no obvious perforation,bleeding and infection in all patient.Conclusion ERCP was effective for the treatment of choledocholithiasis combining HIV infection,however,we should be alert to special complication in patients.Furthermore,we should be paid attention to decontamination of endoscope and protection of nosocomial infection.