Efficacy analysis of percutaneous transhepatic cholangial drainage combined with percutaneous transhepatic papillary balloon dilation for common bile duct stone in elderly patients
10.3969/j.issn.1002-1671.2025.07.027
- VernacularTitle:经皮经肝胆管引流术联合十二指肠乳头球囊扩张推石术治疗老年人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,江苏 南通 226006
- Publication Type:Journal Article
- Keywords:
percutaneous transhepatic cholangial drainage;
percutaneous transhepatic papillary balloon dilation;
elderly
- From:
Journal of Practical Radiology
2025;41(7):1203-1206
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of percutaneous transhepatic cholangial drainage(PTCD)combined with percutaneous transhepatic papillary balloon dilation(PTPBD)in the treatment of common bile duct stone in elderly patients.Methods The clinical data of elderly patients treated with PTCD combined with PTPBD under digital subtraction angiography(DSA)for common bile duct stone were retrospectively collected,the changes in liver function,postoperative complications,and prognosis were analyzed.Results All 70 patients were successfully treated with PTCD,and other 3 patients died after PTCD operation,mainly due to severe infection combined with a variety of underlying diseases.Among the remaining 67 patients,65 cases(97.00%)were successfully treated with PTPBD,while other 2 cases(3.00%)experienced technical failure due to excessive stone size(>20 mm).Among the 70 cases after the pro-cedure,there were 5 cases with abdominal pain,2 cases with bleeding,4 cases with fever,and no serious complications occurred,such as bile duct perforation,intestinal perforation,or pancreatitis.The symptoms of 67 patients were improved from 3 to 7 days after PTCD,and the changes in leukocyte,total bilirubin,alanine aminotransferase and C-reactive protein before and after surgery were sta-tistically significant(P<0.05).Conclusion PTCD combined with PTPBD is a minimally invasive treatment method for common bile duct stone with a high success rate,safety,and effectiveness,which is especially suitable for elderly patients with multiple under-lying diseases,an inability to tolerate surgical and endoscopic treatments.It is worthy of clinical promotion and application.
