河北医学2016，Vol.22Issue(12)：1977-1979,3.DOI:10.3969/j.issn.1006-6233.2016.12.016
经皮肝穿刺胆道支架置入术后发生胆系感染的危险因素分析
Study on the Risk Factors of Biliary Infectious after Percutaneous Stent Placement
摘要
Abstract
Objective:To evaluate predisposing factors for early infectious complications after percuta-neous metallic biliary stent insertion in patients with malignant biliary obstruction. Methods: From January 2006 to December 2014, 128 consecutively registered patients with inoperable malignant biliary obstruction were treated with percutaneous placement of a metallic stent in our hospital. Biliary infections within 30 days after stent implantation were recorded. The incidence of early infectious complications was evaluated. Sex, age, type of obstruction( endophytic type or external pressure type) , and stent position ( across or above the main duodenal papilla) were retrospectively reviewed. The findings in patients with early infectious complica-tions were compared with those in patients without early infectious complications.Results:Infectious complica-tions occurred within 30 days after stent placement in 31 of 128 (24.2%) patients. The incidence of infectious complications in patients with endophytic type biliary stricture(32.4%) was higher than external pressure type (13.0%). The incidence of infectious complications in patients with transpapillary stent placement (31.0%) was higher than nontranspapillary stent placement(22.4%).Conclusion:There was a possibility of early bili-ary infectious after percutaneous placement of a metallic stent. Stent implantation across the main duodenal pa-pilla and biliary endophytic tumor seemed to have a higher incidence of biliary infectious.关键词
经皮肝穿刺/胆道支架置入术/胆系感染Key words
Percutaneous hepatic puncture/Placement of a metallic stent/Biliary infections引用本文复制引用
康庆民,韩贵俊,刘金龙,王海龙,孙树臣,张海生,王梦杰,蔡广艳..经皮肝穿刺胆道支架置入术后发生胆系感染的危险因素分析[J].河北医学,2016,22(12):1977-1979,3.基金项目
河北省承德市科技支撑计划项目,(编号:201422023) （编号:201422023）
