金属内支架置入术治疗胃十二指肠恶性梗阻  

Treatment of Malignant Gastroduodenal Obstruction with Self-expanding Metal Stents

作　　者：张希全 董戈 冯延河[2] 郭峰 鹿咏红 凌宝存[2] 

机构地区：[1]解放军148医院介入治疗中心,山东淄博255300 [2]解放军148医院普外科,山东淄博255300

出　　处：《实用放射学杂志》2004年第10期872-874,共3页Journal of Practical Radiology

摘　　要：目的　探讨不能手术的胃十二指肠恶性梗阻金属内支架治疗方法和效果。方法　 67例胃十二指肠恶性梗阻 ,胃窦及幽门部梗阻 2 7例 ,十二指肠降段及以远梗阻 2 6例 ,胃十二指肠及胃空肠吻合口梗阻 14例 ,均在X线透视下采用介入放射学方法 ,经口腔共置入记忆合金网状内支架 84枚 ,其中 17例因支架置入 6个月后再梗阻又放置了第 2枚支架。结果　 67例患者支架置入成功后 ,梗阻症状迅速解除 ,当日即能进食。术后 1个月与术前比较 ,体重平均增加 4.7kg ,无严重并发症发生。随访 1～ 2 0个月均进食情况良好。结论　金属内支架置入术操作简单、微创、可重复 ,是无法手术治疗的胃十二指肠恶性梗阻首选有效的治疗方法。Objective To explore the treatment ways and effectiveness of metallic self-expanding stent in palliation of inoperable malignant gastroduodenal obstruction.Methods With interventional procedure under fluoroscopic guidance, 84 self-expanding metal stents were implanted orally in 67 patients of malignant gastroduodenal obstruction, including 27 with pyloric antrum obstruction, 26 with descending part of duodenum and further obstruction, 14 with gastroduodenal obstruction and stenotic gastrojejunostomy. 17 were taken reimplanted because of reobstruction afler 6 months.Results 67 patients were implanted successfully, immediate relief of obstruction was observed, all patients were able to take food today. After 1 month, weight increased average 4.7 kg. No major complications occurred. During 1～20 months follow-up, all patiens were able to take food and the result was satisfactory. Conclusion The implanation of metallic self-expanding stents was a simple and effective method, which offered the first treatment for inoperable malignant gastroduodenal obstruction.

关 键 词：胃十二指肠恶性梗阻 治疗 金属内支架置入 支架置入 进食 X线透视 严重并发症 放置 

分 类 号：R656.6[医药卫生—外科学] R735[医药卫生—临床医学]