摘要
目的探讨Soehendra取架器在肝门部胆管癌患者中应用价值。方法2010年1月至2012年10月行ERCP治疗的患者，经选择性胆管造影后考虑肝门部胆管癌，常规先行扩张探条扩张左右肝管，如扩张探不能通过狭窄段，使用Soehendra取架器扩张狭窄段，观察扩张效果和并发症发生情况。结果共有334例患者经造影后考虑肝门部肝管癌，18例（5．4％）患者经常规扩张探条扩张失败后，改用Soehendra取架器扩张狭窄段及堵塞的金属支架，扩张成功后，置入胆管支架或行鼻胆引流术，无相关并发症发生。结论运用Soehendra取架器扩张肝门部胆管癌狭窄段是安全有、有效的。
Objective To evaluate the efficacy of Soehendra stent retriever used as a dilator for the patients with hilarcholangiocarcinoma. Methods During January 2010 and October 2012, patients with hilarcholangiocareinoma who underwent ERCP were recruited to the study. Dilation was attempted by using a dilating catheter. If the stricture could not be dilated, the Soehendra stent retriever was inserted over the wire to dilate the stricture. Results A total of 334 patients were diagnosed as having hilarcholangiocarcinoma with ERCP. Stricture could not be traversed with dilating catheter in 18 cases, the Soehendra stent retriever was used to dilate the stricture prior to stenting or ENBD. There was no complication relative to the procedure. Conclusion Soehendra stent retriever is safe and effective for dilation of bile duct strictures.
出处
《中华消化内镜杂志》
2013年第1期39-41,共3页
Chinese Journal of Digestive Endoscopy
