Clinical analysis of percutaneous transhepatic cholangial drainage combined with percutaneous transhepatic papillary balloon dilation for common bile duct stones
10.3760/cma.j.cn113884-20240629-00195
- VernacularTitle:经皮经肝胆管穿刺引流联合十二指肠乳头球囊扩张推石术治疗胆总管结石的疗效分析
- Author:
Weiguang SHEN
1
;
Xiaodong JIANG
1
;
Li LIANG
1
;
Jie JIN
1
Author Information
1. 南通大学第二附属医院介入科，南通 226006
- Publication Type:Journal Article
- Keywords:
Choledocholithiasis;
Percutaneous transhepatic cholangia drainage;
Percutaneous transhepatic papillary balloon dilatation
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(1):29-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of percutaneous transhepatic cholangial drainage (PTCD) combined with percutaneous transhepatic papillary balloon dilatation (PTPBD) in the treatment of choledocholithiasis.Methods:The clinical data of patients treated with PTCD combined with PTPBD under digital subtraction angiography for choledocholithiasis in the Interventional Department of the Second Affiliated Hospital of Nantong University from June 2021 to May 2024 were retrospectively analyzed, and a total of 90 patients were enrolled, including 58 males and 32 females, aged (56.6±4.3) years. The changes of liver function, postoperative complications, and prognosis were analyzed.Results:Of 90 patients were successfully treated with PTCD, and 3 patients (3.3%) died after PTCD operation, mainly due to old age combined with a variety of underlying diseases. 85(97.7%) of the remaining 87 patients were successfully treated with PTPBD, while 2 cases (2.3%) experienced technical failure due to excessive stone size (>20 mm). Among the 90 cases after the procedure, there were 6 cases (6.7%) of abdominal pain, 3 cases (3.3%) of bleeding, 4 cases (4.4%) of fever, and no serious complications such as bile duct perforation, intestinal perforation or pancreatitis occurred. The symptoms of 87 patients were improved within 3 to 7 days after PTCD. The changes of leukocyte, total bilirubin, alanine aminotransferase and C reactive protein before and after surgery were statistically significant (all P<0.001). Conclusions:PTCD combined with PTPBD is a minimally invasive treatment for common bile duct stones with obvious advantages in high success rate, safety, and effectiveness, which is especially suitable for elderly patients with multiple underlying diseases, inability to tolerate surgical procedures, or no suitable endoscopic pathways.
