摘要
目的探讨经内镜金属支架置入术治疗胃出口、十二指肠和近端小肠恶性梗阻的临床价值。方法对1999年3月至2005年3月经内镜放置金属支架治疗的21例胃出口、十二指肠和近端小肠恶性梗阻患者的临床资料进行回顾性分析。结果 21例中20例放置支架成功,成功率为95．2％,其中4例采取经内镜钳道(TTS)方式释放支架,16例为经导丝直接释放支架。19例支架放置后1-3 d 梗阻症状得到缓解或消除,临床有效率为90．5％,平均生存期4．5个月。1例术后出血,予保守治疗而愈。1例术后1个月支架移位,1例术后2个月肿瘤向支架内浸润生长,导致梗阻复发,均予放置第2 根支架后缓解。结论经内镜放置金属支架治疗胃出口、十二指肠和近端小肠恶性梗阻是一种简单可行、安全有效的方法。
Objective To evaluate the clinical value of metal stenting under endoscopy for malignant gastric outlet, duodenal or proximal small bowel obstruction. Methods The clinical data of 21 patients with malignant gastric outlet, duodenal or proximal small bowel obstruction treated with endoscopic metal stenting from March 1999 to March 2005 were analysed retrospectively. Results Stent insertion was technically successful in 20 patients （95. 2%）, 4 stents were placed through the scope channel（TTS）, 16 stents were non-TTS placement. After stenting, 19 patients showed relief of obstructive symptoms within 1 to 3 days, the clinical success rate was 90.5%, the mean survival date was 4.5 months. During the follow-up period, one patient had gastrointestinal bleeding, and was successfully treated by internal medication. Recurrent obstruction was observed in 2 cases, one with distal stent migration one month after stent implantation, the other with tumor ingrowth at 2 months. The obstruction symptoms were relieved after second stent placement in these two cases. Conclusions Endoscopic placement of metal stent is a simple, safe and effective method for palliation in patients with malignant gastric outlet, duodenal or proximal small bowel obstruction.
出处
《中华消化杂志》
CAS
CSCD
北大核心
2006年第6期373-376,共4页
Chinese Journal of Digestion
关键词
胃出口梗阻
十二指肠梗阻
内镜
支架
Gastric outlet obstruction
Duodenal obstruction
Endoscopy
Stents
