单纯内镜超声引导下置入哑铃样金属支架治疗 胰腺假性囊肿的临床价值

Comparative analysis of two different methods for the treatment of pancreatic pseudocyst by double mushroom head covered metal stent implantation

摘要:

目的 探究单纯内镜超声引导下行双蘑菇头覆膜金属支架置入术治疗胰腺假性囊肿的临床价值。方法 回顾性分析长海医院消化内镜中心2015年10月至2018年7月58例因胰腺假性囊肿行双蘑菇头覆膜金属支架置入术的患者临床资料。11例单纯内镜超声引导下行双蘑菇头覆膜金属支架置入术为病例组；47例X线联合内镜超声引导下行双蘑菇头覆膜金属支架置入术为对照组。分析比较两组患者基线特征、手术操作时间及手术成功率。结果 病例组手术成功率为100%（11/11）,对照组手术成功率为100%（47/47），差异无统计学意义（P>0.05）。病例组手术操作时间(15.82±5.528)min)显著短于对照组手术操作时间(22.62±7.820)min（P<0.05）。结论 单纯内镜超声引导下置入双蘑菇头金属支架成功率高、手术操作时间短、无X线暴露,值得临床推广。

Abstract:

To compare the treatment of pancreatic pseudocyst by X-ray combined with endoscopic ultrasonography and simple endoscopic double mushroom head covered metal stent implantation. Methods The clinical data of 58 patients with pancreatic pseudocyst treated by double mushroom head covered metal stent implantation from October 2015 to July 2018 in Digestive Endoscopy Center of Changhai Hospital were retrospectively analyzed. 47 cases of pancreatic pseudocyst treated by X-ray combined with endoscopic ultrasonography were treated as the control group, and 11 cases of pancreatic pseudocyst treated by endoscopic ultrasonography alone were treated as the experimental group. Results There was no significant difference in successed rates and operation time between the two groups. Conclusion There is no significant difference in the successed rate of surgery between the two groups, and the treatment of pancreatic pseudocyst with double mushroom head covered metal stent implantation under ultrasound endoscopy can be used for inhalation of radiation by medical staff, which is worthy of clinical promotion.