经内镜自膨式金属支架序列置入在胆道及十二指肠恶性梗阻治疗中的应用  

Application of simultaneous self-expandable metal stents for palliation of malignant biliary and duodenal obstruction

作　　者：李伟志[1] 王震宇[1] 张莉[1] 李焕喜[1] 王庆[1] 

机构地区：[1]天津市南开医院内镜中心,微创外科,300100

出　　处：《天津医药》2016年第5期522-524,共3页Tianjin Medical Journal

摘　　要：目的评价经内镜置入双支架治疗胆道及十二指肠恶性梗阻的疗效。方法回顾性分析我科通过内镜方法先后或同时放置胆道及十二指肠金属支架治疗胆道及十二指肠恶性梗阻患者32例的临床资料,观察患者治疗效果,比较治疗前后胆红素及肝功能指标变化情况。结果所有患者均成功置入双支架,患者术后肝功能各项指标较术前均有所改善,梗阻症状得到缓解。结论经内镜置入双支架治疗胆道及十二指肠梗阻是一种安全、有效的方法。Objective To evaluate the clinical effect of the application of simultaneous metal stents for treatment of biliary and duodenal obstruction. Methods A retrospective review of clinical data in 32 patients underwent simultaneous placement of biliary and duodenal metal stent was performed. Changes of bilirubin and liver function indexes were observed before and after treatment in patients. Results The biliary stent placement and duodenal stent placement were successively performed in all patients. The indexes of liver function were improved, and the symptoms were relieved. Conclusion The combined self-expandable metal stenting for biliary and duodenal obstruction is a safe and effective treatment method.

关 键 词：支架 十二指肠梗阻 十二指肠镜检查 胆道梗阻 自膨式金属支架 

分 类 号：R657[医药卫生—外科学]