Clinical analysis of percutaneous transhepatic papillary balloon dilation in the treatment of common bile duct stone
10.3969/j.issn.1002-1671.2025.03.025
- VernacularTitle:经皮经肝十二指肠乳头肌扩张顺行排石术治疗胆总管结石临床分析
- 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,江苏 南通 226006
- Publication Type:Journal Article
- Keywords:
common bile duct stone;
percutaneous transhepatic papillary balloon dilation;
digital subtraction angiography
- From:
Journal of Practical Radiology
2025;41(3):471-473,500
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of percutaneous transhepatic papillary balloon dilation(PTPBD)in the treatment of common bile duct stone(CBDS).Methods The relevant data of patients treated with PTPBD for CBDS under digital subtraction angiography(DSA)were analyzed retrospectively,and its safety and effectiveness were analyzed.Results Among the 50 patients,there were 3 cases of abdominal pain,2 cases of bleeding,2 cases of fever,and no serious complications related to bile duct or intesti-nal perforation or pancreatitis.45 cases(90.00%)were successfully treated with PTPBD,while other 5 cases experienced technical failure due to excessive stone size(>20 mm).Conclusion PTPBD is a safe,effective,and minimally invasive treatment for CBDS with a high success rate,which is especially suitable for the patients with older age,multiple underlying diseases,inability to toler-ate surgical procedure,and without suitable endoscopic pathways,and the method is worthy of clinical promotion.
