摘要
目的探讨金属内支架在治疗不能手术的胃十二指肠交界处良恶性梗阻中的作用、疗效和并发症。方法１１例病人，８例术后吻合口复发狭窄，１例胃幽门良性狭窄，２例恶性狭窄。在透视监视下，使用介入放射学方法置入１１个自膨胀式金属内支架。结果１１例病人支架置入均成功，１０例梗阻症状立即解除，随访期间病人均能进食，疗效满意。本组无严重并发症发生。结论介入放射学置入金属内支架是一个简单、有效的治疗方法，对不能手术的胃出口部狭窄和术后吻合口狭窄有很好的缓解作用。
Purpose To explore the effectiveness and complications of metallic self expanding stent in palliation of inoperable benign and malignant antrum pylorus duodenal obstruction. Methods With interventional procedure under fluoroscopic guidance, eleven self expanding metallic stents were implanted in eleven patients, including eight with stenotic gastroenterostomy of gastric or pancreatic carcinoma, one with pyloric stenosis following chemical injury and two with malignant pyloric stenosis of stomach. Results Eleven stents were implanted successfully. In ten patients, immediate relief of obstruction was observed. During follow up or until death, all patients were able to take food orally and the result was satisfactory. No major complications occurred in this group. Conclusion The implantation of metallic self expanding stent was a simple and effective method which offered good palliation for obstruction of inoperable gastric outlet and post operative strictures.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1998年第10期658-660,共3页
Chinese Journal of Radiology
