胃十二指肠良恶性狭窄的内支架治疗  

Treatment of benign and malignant gastroduodenal obstruction with self expanding metal stents

作　　者：李天晓[1,2] 韩新巍[1,2] 马文章[1,2] 冯广森[1,2] 高建波[1,2] 李荫太[1,2] 李树新[1,2] 

机构地区：[1]河南医科大学第一附属医院放射科 [2]河南医科大学第二附属医院放射科

出　　处：《中华放射学杂志》1998年第10期658-660,共3页Chinese Journal of Radiology

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.

关 键 词：十二指肠梗阻 胃肿瘤 十二指肠肿瘤 介入放射学 

分 类 号：R735.205[医药卫生—肿瘤] R735.310.5[医药卫生—临床医学]