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Отдаленные результаты эндоскопического лечения рубцовых стриктур желчных протоков

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Цель. Оценить отдаленные результаты этапного эндоскопического лечения пациентов с рубцовыми стриктурами желчных протоков. Материал и методы. В исследование включен 41 пациент с рубцовыми стриктурами желчных протоков различной этиологии и локализации. Исследование охватывает более чем семилетний период наблюдения за пациентами, у большинства из которых эндоскопическое лечение уже завершено. Результаты. Уровень технического успеха составил 100%. Этапное стентирование завершено у 34 из 37 находящихся под наблюдением пациентов. Уровень клинического успеха, определенный как разрешение стриктуры, достиг 94%. Частота осложнений в послеоперационном периоде составила 8,8%. Рецидив стриктуры развился только у 2 из 34 пациентов с завершенным стентированием. Заключение. Применение этапной установки множественных пластиковых стентов характеризуется не только высоким уровнем технического и клинического успеха при малом числе осложнений, но и стабильно малой частотой рецидива стриктур в отдаленном периоде.

Ключевые слова:
печень, желчные протоки, стриктура, эндоскопическое лечение, стентирование, стент, осложнения, отдаленные результаты, liver, bile ducts, stricture, endoscopic treatment, stenting, stent, complications, late results

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Late results in the endoscopic treatment of cicatricial bile duct strictures

Aim. To evaluate the late results of staged endoscopic treatment of patients with corrosive bile duct strictures. Materials and methods. The study included 41 patients with corrosive bile duct strictures varying in etiology and localization. The patients were observed over a seven-year period, most of whom had already undergone endoscopic treatment. Results. The technical success rate amounted to 100%. The procedure of staged stenting was completed in 34 out of 37 patients under observation. The clinical success rate, defined as the release of a stricture, reached 94%. In the postoperative period, the incidence of complications amounted to 8.8%. Only 2 out of 34 patients who had undergone stenting exhibited stricture recurrence. Conclusion. The staged placement of multiple plastic stents is characterized by high technical and clinical success rates while involving few complications, as well as a consistently low rate of stricture recurrence in the long-term period.

Keywords:
печень, желчные протоки, стриктура, эндоскопическое лечение, стентирование, стент, осложнения, отдаленные результаты, liver, bile ducts, stricture, endoscopic treatment, stenting, stent, complications, late results