无痛胃镜下金属内支架置入治疗胃流出道恶性梗阻  

Placement of Metal Stent for Malignant Gastric Outlet Obstruction by Painless Gastroscopy

作　　者：刘兆云[1] 陈轩[1] 雷娜肸[1] 章可吟[1] 吴仲玉[1] 郭炜伦[1] 

机构地区：[1]福建中医药大学附属宁德市中医院,福建宁德352100

出　　处：《中外医疗》2013年第12期43-45,共3页China & Foreign Medical Treatment

摘　　要：目的探讨无痛胃镜下金属内支架置入治疗胃流出道恶性梗阻的临床疗效和安全性。方法回顾分析21例胃流出道恶性梗阻患者行无痛胃镜下金属内支架置入治疗的临床资料。结果 21例患者均在静脉复合麻醉下完成,金属内支架一次置入成功20例,成功率95.2%,1例二次置入成功,总成功率100%,无严重并发症,植入支架后梗阻均解除,消化道通畅时间1~25个月,平均（5.2±4.4）个月。结论金属内支架置入治疗胃流出道恶性梗阻疗效确切,应用无痛胃镜协助能为术者提供较多便利,以及减少患者痛苦,是一种安全可行的治疗方法,值得临床推广应用。Objective To explore the efficiency and safety of metal stent placement by painless gastroscopy for malignant gastric outlet obstruction. Methods Twenty-one cases of malignant gastric outlet obstruction, treated with metal stent placement by painless gastroscopy, were retrospectively investigated. Results All the patients finished the procedures under combined intravenous anesthesia. Of the 21 patients included in the study, 20 underwent successful initial placement of metal stent and a second stent was inserted in 1 patient, with 95.2% rate of one stent insertion and 100% rate of total successful insertion. The obstruction was relieved in all patients for 1~25 months（5.2±4.4）months, without severe complication occurred. Conclusion Insertion of metal stent is an effective therapeutic approach for malignant gastric outlet obstruction. Painless gastroscopy was a safe and valuable practice which could facilitate the procedure and alleviate the discomfort during the procedure.

关 键 词：无痛 胃镜 支架 胃 恶性梗阻 

分 类 号：R735.1[医药卫生—肿瘤]