胆道支架置入术联合十二指肠支架置入术治疗胃癌并发恶性胆道及消化道梗阻的效果观察  

Observation on the effect of biliary stent implantation combined with duodenal stent implantation in the treatment of gastric cancer complicated with malignant biliary tract and digestive tract obstruction

作　　者：覃冬林[1] 黄理[1] 吴晓云[1] 钟醒怀[2] 唐灿[1] Qin Donglin;Huang Li;Wu Xiaoyun;Zhong Xinghuai;Tang Can(Department of Internal Medicine of the People's Hospital of Hechi City,Guangxi,and 547000 of the river pool in Guangxi;Department of interventional medicine,hechi people’s hospital,guangxi 547000)

机构地区：[1]广西河池市人民医院消化内科,广西河池547000 [2]广西河池市人民医院介入科,广西河池547000

出　　处：《当代医药论丛》2019年第13期19-20,共2页

摘　　要：目的:探讨联用胆道支架置入术和十二指肠支架置入术治疗胃癌并发恶性胆道及消化道梗阻的临床效果。方法:选择2016年7月至2018年8月期间广西河池市人民医院收治的60例胃癌并发恶性胆道及消化道梗阻患者作为研究对象。将这60例患者分为对照1组(n=20)、对照2组(n=20)和观察组(n=20)。对对照1组患者进行胆道支架置入术,对对照2组患者进行十二指肠支架置入术,对观察组患者进行胆道支架置入术联合十二指肠支架置入术。然后,比较三组患者术后并发症的发生率、三个月内的死亡率及生存的时间。结果:治疗后,对照1组患者和对照2组患者术后并发症的发生率、三个月内的死亡率及生存的时间相比,差异无统计学意义(P>0.05)。治疗后,与对照组1组患者和对照2组患者相比,观察组患者术后并发症的发生率、三个月内的死亡率均更低,其生存的时间更长(P<0.05)。结论:联用胆道支架置入术和十二指肠支架置入术治疗胃癌并发恶性胆道及消化道梗阻的临床效果确切,可有效地降低患者术后并发症的发生率。objective:to investigate the clinical effect of combined biliary stent implantation and duodenal stent implantation in the treatment of gastric cancer complicated with malignant biliary tract and digestive tract obstruction.Methods:60 patients with gastric cancer complicated with malignant biliary tract and digestive tract obstruction admitted to guangxi hechi people’s hospital from July 2016 to August 2018 were selected as research objects.The 60 patients were divided into control group 1(n=20),control group 2(n=20)and observation group(n=20).Biliary stent implantation was performed in the control group 1,the control group 2 and the observation group.Then,the incidence of postoperative complications,mortality within three months and survival time were compared among the three groups.Results:after treatment,there were no statistically significant differences in the incidence of postoperative complications,mortality within three months,and survival time between control group 1 and control group 2(P>0.05).After treatment,compared with control group 1 and control group 2,the observation group had lower incidence of postoperative complications,lower mortality within three months and longer survival time(P<0.05).Conclusion:biliary stent implantation combined with duodenal stent implantation is effective in the treatment of gastric cancer complicated with malignant biliary tract and digestive tract obstruction,and can effectively reduce the incidence of postoperative complications in patients.

关 键 词：胆道支架置入术 十二指肠支架置入术 恶性胆道及消化道梗阻 

分 类 号：R735[医药卫生—肿瘤]