摘要
目的评价金属支架在治疗胃、十二指肠及吻合口恶性梗阻中的临床疗效。方法胃、十二指肠及吻合口恶性梗阻引起上消化道梗阻症状28例患者,胃窦癌15例,胃癌术后吻合口复发3例,十二指肠癌7例,胰腺癌2例,胆管癌术后1例。在X线和胃镜监视下经口置人自膨式镍钛记忆合金支架。结果26例患者成功放置了金属支架,患者临床症状均明显缓解。2例未能成功,其中1例术中出现心跳骤停,1例经3次手术均因导丝无法通过狭窄段失败。随访90～540 d,22例患者生存时间90～482 d,平均生存期216 d。结论经口放置金属支架能有效缓解胃出口、十二指肠及吻合口恶性梗阻,可提高患者的生活质量、延长生存时间。
Objective To appraise the clinical curative effects of metallic stent in the treatment of malignant gastrodnodenal obstruction. Methods 28 cases of malignant gastroduodenal and ahastomotic stoma obstruction, 15 with antral gastric carcinoma, 3 with recurrent anastomotic stoma of gastric carcinoma, 7 with duodenal carcinoma, 1 with pancreatic cancer and 1 with cholangiocarcinoma, were placed with the self-expandable medical memorial metallic stent under the surveillance of X-ray and gastroscopy. Results Out of the 28 cases, metallic stenting was successfully performed in 26 cases, and their symptoms were clearly relieved. Metallic stenting was failed in 2 cases due to cardiac arrest occurrence in 1 case during operation and impassable stricture in the other after 3-times try. During the follow-up periods of 90-540 d, 22 cases survived 90-482 d with a median survival time of 216 d. Conclusion Metallic stenting through mouth can effectively relieve the malignant gastroduodenal and anastomotic Stoma obstruction, improve the living quality of the patients and extend the time of their survival.
出处
《兰州大学学报（医学版）》
CAS
2008年第4期80-83,共4页
Journal of Lanzhou University（Medical Sciences）
基金
甘肃省中青年科技基金(YS-011-A23-20)资助项目
关键词
金属支架
胃
十二指肠
梗阻
metallic stent
stomach
duodenum
obstruction
