经结肠镜钳道直视下联合X线监视置入金属支架治疗胃十二指肠恶性梗阻38例  

Stent placement under fluoroscopic monitoring and colonscopic direct vision for the treatment of malignant gastroduodenal obstruction: a report of 38 cases

作　　者：张平[1] 江军[1] 郝云龙[1] 李素迎[1] 綦利平[1] 陈亮[1] 王锦飞[1] 袁林[1] 周雯[1] 

机构地区：[1]湖北省武汉市武警湖北总队医院消化内科,湖北武汉430061

出　　处：《中国内镜杂志》2014年第11期1204-1206,共3页China Journal of Endoscopy

摘　　要：目的探讨经结肠镜钳道(钳道直径3.8 mm)直视下置入金属支架治疗胃十二指肠恶性梗阻的操作方法及疗效。方法该组38例胃十二指肠恶性梗阻患者在联合X线监视经结肠镜钳道直视下,置入42枚金属内支架治疗。结果 38例患者支架置入均获得了成功,随访期间患者均能进食流质或普食,呕吐减轻,生活质量提高,未出现严重并发症。结论经结肠镜钳道直视下联合X线监视置入金属内支架治疗胃十二指肠恶性梗阻,安全有效,操作简便、时间短,患者痛苦小,定位准确,支架一次性置入成功率高、覆盖病变完全,同时利用现有的大钳道结肠镜,不需要购置特制的大钳道胃镜,充分利用了设备资源,适合推广应用。[ Objective ] To discuss the operational technique and clinical effect of metallic stentplacement intreating malignant gastroduodenal obstruction. [ Methods ] Metallic stent placement under fluoroscopic monitoringand colonscopic direct vision was performed in 38 patients with malignant gastroduodenal obstruction. A total of 42metallic stents was used. [ Results ] The procedure was successfully completed in all 38 patients. During the follow-up period, all the patients could take liquid or ordinary diet, and were markedly relived of vomiting. The livingquality was much improved and no serious complications occurred. [ Conclusion ] Under fluoroscopic monitoring andcolonoscopic direct vision, stent placement is a safe, effective, technically-simple and time-saving procedure for thetreatment of malignant gastroduodenal obstruction with less sufl＇erings to the patient. Therefore, it is definitely worthpopularizing this technique in clinical practice.

关 键 词：胃 十二指肠梗阻 内镜 支架 

分 类 号：R735.3[医药卫生—肿瘤]