内镜联合X线下金属支架置入治疗恶性胃流出道梗阻  

Metal stents under endoscopy and fluoroscopic guidance for the treatment of malignant gastric outlet obstruction

作　　者：方超英[1] 何利平[1] 

机构地区：[1]福建省立医院,福建福州350001

出　　处：《中外医学研究》2010年第27期7-8,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨经内镜结合X线下金属支架置入术治疗胃流出道梗阻的临床价值。方法取43例胃流出道恶性梗阻患者，行内镜检查后经活检孔置入导丝，X线监视下置入并释放金属肠道支架。结果43例金属支架均一次置入成功，成功率为100％，术后2天常规腹部平片检查支架均未见移位，张开满意通畅。中位生存期为8．50月。结论金属支架治疗胃出口恶性梗阻是一种简单可行、安全有效的方法；结合X线操作具有提高置成功率、缩短操作时间、支架定位准确以及减少患者痛苦和手术相关并发症的优点。Objective To evaluate the clinical value of metal stents for malignant gastric outlet obstruction, and to appraise the methods of implanting stents under endoscopy and fluoroscopic guidance. Methods 43 cases of malignant stenosis of gastric outlet were usually examined by endoscopy at first, the guide wire was introduced through the biopsy channel, and metal stent was implanted under fluoroscopy. Results Stent insertion was technically successful in 43 patients at once. The metal stent showed no displacement and open satisfactory pateney examined by abdominal plain film after two days. The median survival time was 8.50 months. Conclusion Endoscopic placement of metal stent is simple, safe and effective method for palliation in patients with malignant gastric outlet. Endoscopy and fluoroscopy can promote the success rate of implantation,the procedural duration is shortened,stent localization is precise and complications are few.

关 键 词：胃出口梗阻 内镜 支架 

分 类 号：R473.6[医药卫生—护理学]