PTGD在治疗胆石症合并胆道感染中的研究进展
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v6i5.10108
Abstract
近年来,随着现代社会饮食结构的变化和人口老龄化趋势的加剧,胆石症已成为城市中老年人群中较为常见的急腹症之一。尽管腹腔镜胆囊切除术(LC)目前是治疗结石性胆囊炎的主要方式,但对于合并重度感染和(或)自身不能耐受手术(如心肺功能差或凝血功能差等)及有明显手术禁忌症的患者,则需要采用创伤更小的治疗措施,以降低患者的死亡率及相关并发症的发生率。近年来,经皮经肝胆囊穿刺引流术(PTGD)作为一种微创、安全且有效的非手术治疗手段,目前已被应用于临床。本综述旨在探讨PTGD在治疗胆石症合并胆道感染患者中的研究进展及未来的展望。
Keywords
PTGD；胆石症；胆道感染；急性胆囊炎；疗效；并发症
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[20] dela Serna-Higuera C, Pérez-Miranda M, Gil-Simón P, Ruiz-Zorrilla R, Diez-Redondo P, Alcaide N, Sancho-del Val L, Nuñez-Rodriguez H.EUS-guided transenteric gallbladder dra inage with a new fistula-forming, lumen-apposing metal stent. Gastrointest Endosc.2013 Feb;77(2):303-8.
[21] Kamata K, Takenaka M, Kitano M, Omoto S, Miyata T, Minaga K, Yamao K, Imai H, Sakurai T, Watanabe T, Nishida N, Kudo M. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: Long-term outcomes after removal of a self-expandable metal stent. World J Gastroenterol. 2017 Jan 28;23(4):661-667.
[22] APC,JeffreyB,LMOD,etal.TheClavien-Dindo classification of surgical complications: five-year experience.[J].Annals of surgery,2009,250(2):187-96.
[23] 丁伟超,许铁,燕宪亮,等.急诊超声引导下PTGBD在治疗合并感染性休克的AOSC的疗效分析[J].临床急诊杂志,2018,19(07):460-462.
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[25] Akyürek N, Salman B, Yüksel O, Tezcaner T, Irkörücü O, Yücel C, Oktar S, Tatlicioğlu E. Management of acute calculous cholecystitis in high-risk patients: percutaneous cholecysto tomy followed by early laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech.2005Dec;15(6):315-20.
[26] ZhangW,YiH, Cai M, Zhang J. Management strategies for acute cholecystitis in late pregnancy: a multicenter retrosp ective study. BMC Surg.2023Nov10;23(1):340.
[27] 焦涛,李祥,麦吉元,等.急性胆石性胆囊炎患者超声引导下经皮肝胆囊穿刺引流术的治疗效果[J].宁夏医学杂志,2024,46(09):795-799.
[28] 曹景新.PTGD在急性胆囊炎治疗中的应用效果[J].中国城乡企业卫生,2024,39(02):122-125.
[29] Lucocq J, Patil P, Scollay J. Acute cholecystitis: Delay edcholecystectomy has lesser perioperative morbiditycompared to emergency cholecystectomy[J].Surgery,2022,172(1):16-22.
[30] Li Q, Cheng R, Gao X, Zhu L. Influence of Percutaneous Drainage Surgery and the Interval to Perform Laparoscopic Cholecystectomy on Acute Cholecystitis through Genetic Algorithm-Based Contrast-Enhanced Ultrasound Imaging. Com put Intell Neurosci. 2022 Jul 30;2022:3602811.
[31] El-Gendi A, El-Shafei M, Emara D.Emergencyversus delayed cholecystectomy after percutaneoustranshepatic gall bladder drainage in grade Ⅱ acutecholecystitis patients[J]. J Gastrointest Surg,2017,21(2):284-293.
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[33] Sakamoto T,Fujiogi M, Matsui H, Fushimi K, Yasunaga H. Timing of cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis: a nationwide inpatient database study.HPB (Oxford).2020Jun;22(6):920-926.
[34] MoriY,ItoiT,Baron TH, Takada T, Strasberg SM, Pitt HA, Ukai T,ShikataS,NoguchiY,Teoh AYB, etal.Tokyo guidelines 2018: management strategiesfor gallbladder drainage in patients with acute cholecystitis (with videos).JHepatobiliary Pancreat Sci.2018;25(1):87-95.
[2] 张琦,于庆生,沈毅.于庆生教授运用从肝治胆理论治疗胆石症经验[J].中医研究,2021,34(04):67-69.
[3] Shaffer EA.Gallstone disease:Epidemiology of gallbla dder stone disease. Best Pract Res Clin Gastroenterol. 2006;20 (6):981-96.
[4] 吴克松,王超刚,郝昆龙,等.西藏工布江达县藏族农牧民胆结石发生情况及其影响因素调查研究[J].中国医学创新,2020,17(35):72-77.
[5] 李立新,韩喜春.熊去氧胆酸对胆总管结石合并肝生化异常患者ERCP术后肝功能的影响[J].肝脏,2019,24(07):798-800.
[6] Koksal AS, Eminler AT, Parlak E. Fully Covered Metal Stents Safely Facilitate Extraction of Difficult Bile Duct Stones.Surg Laparosc Endosc Percutan Tech.2023 Apr 1;33(2):152-161.
[7] JBF,DPR,HCW.What you need to know about gallstone disease[J].British Journal of Hospital Medicine,2022,83(12):1-8.
[8] 马胜海,王悦华,刘东斌,等.老年急性胆囊炎的诊疗进展[J].腹腔镜外科杂志,2020,25(06):467-470.
[9] LEEYS,KANGBK,HWANGIK,etal.Long-termOutcomesofSymptomaticGallbladderSludge[J].JournalofClinicalGastroenterology,2015,49(7):594-598.
[10] M.Kujiraoka,M.Kuroda,K.Asaietal.,“Comprehensive dia gnosis of bacterial infection associated with acute cholecy stitis using metagenomic approach,” Frontiers in Microbiology,vol.8,p.685,2017.
[11] 吴志农,余才翰,熊敏,等.胆道肠球菌感染患者炎症因子水平和病原菌分布及危险因素分析 [J].中国微生态学杂志,2020,32(06):695-699.
[12] 刘洪,甘雪梅,孙建明,等.PTGBD序贯择期LC治疗急性胆囊炎的最佳时机探讨[J].肝胆胰外科杂志,2023,35(02):77-84.
[13] LeaAS,FelicianoDV,GentryLO.Intra-abdominal infecti ons-an update.J Antimicrob Chemother.1982Jan;9SupplA:107-13.
[14] J.W.Park,J.K.Lee,K.T.Lee,K.H.Lee,Y.K.Sung,andC.I.Kang,“Howtointerpretthebilecultureresultsofpatientswithbiliarytractinfections,”ClinicsandResearchinHepatologyandGastroenterology,vol.38,no.3,pp.300-309,2014.
[15] 聂双,邹晓平.EUS-ERCP融合技术在胆胰疾病中的运用[J].现代实用医学,2023,35(10):1261-1263.
[16] 马睿,胡建军,杨海波,等.超声引导下经皮经肝胆囊穿刺置管引流术在急性胆囊炎中的应用效果[J].实用中西医结合临床,2022,22(15):60-62+96.
[17] AnderloniA,Fugazza A. Acute cholecystitis: Which is the best therapeutic option? Gastrointest Endosc.2022Mar;95 (3):407-409.
[18] K.L.Li,F.Wang,andW.J.Gu,“Clinical observation of perc utaneous transhepatic gallbladder drainage in the treatment of calculous cholecystitis,” China Continuing Medical Educat ion,vol.9,no.31,pp.79-80,2017.
[19] P.A.Myer,A.Mannalithara,G.Singh,G.Singh,P.J.Pasricha,andU.Ladabaum,JBF,DPR,HCW.Whatyou need to know about gallst one disease[J].British Journal of Hospital Medicine,2022,83(12):1-8.,vol.108,no.9,pp.1496-1507,2013.
[20] dela Serna-Higuera C, Pérez-Miranda M, Gil-Simón P, Ruiz-Zorrilla R, Diez-Redondo P, Alcaide N, Sancho-del Val L, Nuñez-Rodriguez H.EUS-guided transenteric gallbladder dra inage with a new fistula-forming, lumen-apposing metal stent. Gastrointest Endosc.2013 Feb;77(2):303-8.
[21] Kamata K, Takenaka M, Kitano M, Omoto S, Miyata T, Minaga K, Yamao K, Imai H, Sakurai T, Watanabe T, Nishida N, Kudo M. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis: Long-term outcomes after removal of a self-expandable metal stent. World J Gastroenterol. 2017 Jan 28;23(4):661-667.
[22] APC,JeffreyB,LMOD,etal.TheClavien-Dindo classification of surgical complications: five-year experience.[J].Annals of surgery,2009,250(2):187-96.
[23] 丁伟超,许铁,燕宪亮,等.急诊超声引导下PTGBD在治疗合并感染性休克的AOSC的疗效分析[J].临床急诊杂志,2018,19(07):460-462.
[24] Ultrasound-Guided Percutaneous Transhepatic Gallb ladder Drainage Improves the Prognosis of Patients with Severe Acute Cholecystitis.
[25] Akyürek N, Salman B, Yüksel O, Tezcaner T, Irkörücü O, Yücel C, Oktar S, Tatlicioğlu E. Management of acute calculous cholecystitis in high-risk patients: percutaneous cholecysto tomy followed by early laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech.2005Dec;15(6):315-20.
[26] ZhangW,YiH, Cai M, Zhang J. Management strategies for acute cholecystitis in late pregnancy: a multicenter retrosp ective study. BMC Surg.2023Nov10;23(1):340.
[27] 焦涛,李祥,麦吉元,等.急性胆石性胆囊炎患者超声引导下经皮肝胆囊穿刺引流术的治疗效果[J].宁夏医学杂志,2024,46(09):795-799.
[28] 曹景新.PTGD在急性胆囊炎治疗中的应用效果[J].中国城乡企业卫生,2024,39(02):122-125.
[29] Lucocq J, Patil P, Scollay J. Acute cholecystitis: Delay edcholecystectomy has lesser perioperative morbiditycompared to emergency cholecystectomy[J].Surgery,2022,172(1):16-22.
[30] Li Q, Cheng R, Gao X, Zhu L. Influence of Percutaneous Drainage Surgery and the Interval to Perform Laparoscopic Cholecystectomy on Acute Cholecystitis through Genetic Algorithm-Based Contrast-Enhanced Ultrasound Imaging. Com put Intell Neurosci. 2022 Jul 30;2022:3602811.
[31] El-Gendi A, El-Shafei M, Emara D.Emergencyversus delayed cholecystectomy after percutaneoustranshepatic gall bladder drainage in grade Ⅱ acutecholecystitis patients[J]. J Gastrointest Surg,2017,21(2):284-293.
[32] Liu P,Liu C,Wu YT,etal.Impact of B-modeultrasoundguided transhepatic and transperitonealcholecystostomy tube placement on laparoscopiccholecystectomy[J]. World J Gastroe nterol,2020,26(36):5498-5507.
[33] Sakamoto T,Fujiogi M, Matsui H, Fushimi K, Yasunaga H. Timing of cholecystectomy after percutaneous transhepatic gallbladder drainage for acute cholecystitis: a nationwide inpatient database study.HPB (Oxford).2020Jun;22(6):920-926.
[34] MoriY,ItoiT,Baron TH, Takada T, Strasberg SM, Pitt HA, Ukai T,ShikataS,NoguchiY,Teoh AYB, etal.Tokyo guidelines 2018: management strategiesfor gallbladder drainage in patients with acute cholecystitis (with videos).JHepatobiliary Pancreat Sci.2018;25(1):87-95.
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