内镜直视下消化道支架植入治疗消化道狭窄33例临床分析  

Clinical analysis of stent embedding under endoscopy by straight sight for digestive tract stenosis

作　　者：余小鸣[1] 丁文俐 王丽昆[1] 张志波[1] 毛靖[1] 

机构地区：[1]云南省昆明市延安医院消化科,云南昆明650051

出　　处：《分子影像学杂志》2016年第2期105-107,共3页Journal of Molecular Imaging

摘　　要：目的探讨内镜直视下消化道支架植入治疗消化道狭窄的安全性及临床疗效。方法选择2013~2015年在我院门诊及住院收治的33例消化道狭窄患者,包括食管及贲门部位狭窄24例,幽门部位狭窄4例,结肠狭窄5例。根据狭窄部位和程度选择不同支架,在内镜直视行消化道支架植入。结果 33例中,除2例术后出现穿孔,1例放置失败,2例支架滑落外,其余28例均成功植入支架,成功率为84.8%,术后狭窄梗阻症状解除。支架植入后12例患者出现了胸痛或腹痛症状,4例患者有消化道出血症状,但症状较轻,多可自行缓解或经对症处理后消失。结论内镜直视下消化道支架植入对消化道狭窄疗效好,但对少数患者仍存在一定的不良反应。Objective To explore the safety and clinical effects of stent embedding under endoscopy by straight sight for digestive tract stenosis. Methods Thirty-three patients with digestive tract stenosis admitted to our hospital from 2013 to 2015 were selected in this study, including 24 cases of esophagus and cardia, 4 cases of pyloric stenosis and 5 cases of colon stenosis.According to the site and degree of the stenosis, patients were given stent embedding under endoscopy by straight sight.Results Among the 33 cases of digestive tract stenosis, except for 2 cases of perforation after stent embedding, 1 case of failure of stent embedding and 2 cases of stent shifting, there were 28 cases（84.8%） of successful stent embedding and the symptoms of digestive tract stenosis were alleviated after stent embedding. Thoracalgia and celialgia occurred in 12 patients and digestive tract hemorrhage occurred in 4 patients, but these symptoms were mild and disappeared soon with or without symptomatic treatment. Conclusion Stent embedding under endoscopy by straight sight has good clinical effects on digestive tract stenosis, but still has some adverse reactions in few patients.

关 键 词：内镜 支架植入 消化道狭窄 临床疗效 不良反应 

分 类 号：R57[医药卫生—消化系统]