■在某些解剖结构改变或胆道梗阻的患者中,常规经口观察胆道狭窄的方法不可行。经皮肝穿刺胆道镜检查可以作为一种替代手术。这项研究旨在回顾性地回顾在丹麦三级转诊中心进行的5年期间,使用SpyGlassDS技术(S-PTCS)对经皮肝穿胆道造影的使用。
对2016年至2021年在丹麦三级转诊中心接受S-PTCS的所有患者进行回顾性分析。视觉,技术,并对S-PTCS的总体成功率进行了分析,以及并发症发生率。灵敏度,特异性,阳性预测值(PPV),负预测值(NPV),并计算了S-PTCS的准确度。
■22名患者被纳入研究。视觉,技术,在17/22、22/22和21/22患者中,S-PTCS取得了总体成功,分别。S-PTCS的灵敏度为83.3%,100%的特异性,PPV为100%,净现值为94.1%,准确率为95.4%。1/22例患者出现并发症。
■S-PTCS是一种安全的方式,成功率很高,高预测值,并发症发生率低。这项研究表明,对于不确定的胆道狭窄患者,S-PTCS是常规方法的替代方法,而常规方法不可行。
UNASSIGNED: Conventional peroral methods to visualize biliary strictures are not feasible in some patients with altered anatomy or biliary obstruction, and percutaneous transhepatic cholangioscopy can be used as an alternative procedure. This study aimed to retrospectively review the use of percutaneous transhepatic cholangiography using the SpyGlass DS technology (S-PTCS) during a 5-year period at a Danish tertiary referral centre.
UNASSIGNED: All patients who underwent S-PTCS at a single Danish tertiary referral centre between 2016 and 2021 were retrospectively analyzed. The visual, technical, and overall success rates of S-PTCS were analyzed, as well as the complication rate. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of S-PTCS were calculated.
UNASSIGNED: Twenty-two patients were included in the study. Visual, technical, and overall success of S-PTCS was achieved in 17/22, 22/22, and 21/22 patients, respectively. S-PTCS yielded a sensitivity of 83.3%, a specificity of 100%, a PPV of 100%, a NPV of 94.1%, and an accuracy of 95.4%. Complications occurred in 1/22 patients.
UNASSIGNED: S-PTCS is a safe modality, with high success rates, high predictive values, and a low rate of complications. This study suggests that S-PTCS is an alternative to conventional methods in patients with indeterminate biliary strictures where conventional methods were unfeasible.