内镜下消化道支架置入术治疗消化道狭窄的临床效果  

Clinical effect of endoscopic digestive tract stent placement in the treatment of digestive tract stenosis

作　　者：徐菱遥 杨丙信 杨黎冰 刘东亚 武利萍 韩大正 XU Lingyao;YANG Bingxin;YANG Libing;LIU Dongya;WU Liping;HAN Dazheng(Gastroenterology Department,the First Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学第一附属医院消化内科,河南开封475000

出　　处：《临床医学研究与实践》2020年第34期111-113,共3页Clinical Research and Practice

摘　　要：目的探讨内镜下消化道支架置入术治疗消化道狭窄的效果和安全性。方法收集2017年1月至2019年10月在我院消化内科接受X射线监视下消化道支架置入术治疗的60例消化道狭窄患者(对照组)与接受内镜下消化道支架置入术治疗的47例消化道狭窄患者(观察组)的临床资料进行回顾性研究。比较两组的手术情况,术后12、24、36、48 h的疼痛评分,术后第1~3天的血清炎症因子水平,术后并发症发生情况,术后恢复时间。结果两组的支架置入成功率,狭窄解除有效率,术后12、24、36、48 h的疼痛评分,术后第1~3天的CRP、IL-6水平无显著差异(P>0.05);观察组的支架置入耗时、手术用时、胃肠功能恢复时间、首次进食时间、拔管时间、住院时间均短于对照组,手术费用少于对照组,术后并发症总发生率低于对照组(P<0.05)。结论相比于X线监视下消化道支架置入术,内镜下消化道支架置入术治疗消化道狭窄可在保证支架置入成功率和狭窄解除效果的前提下,有效缩短术中操作时间,降低患者的手术费用,还可减少术后并发症,加快术后恢复。Objective To investigate the effect and safety of endoscopic digestive tract stent placement in the treatment of digestive tract stenosis.Methods The clinical datas of 60 patients(control group)with digestive tract stenosis treated with digestive tract stent placement under X-ray monitoring and 47 patients(observation group)with digestive tract stenosis treated with endoscopic digestive tract stent placement in the gastroenterology department of our hospital from January 2017 to October 2019 were collected for retrospective study.The operation conditions,postoperative pain score at 12,24,36,48 h after operation,serum inflammatory factors levels at 1-3 d after operation,postoperative complications occurrence and postoperative recovery time were compared between the two groups.Results There were no significant differences in the success rate of stent placement,the effective rate of stenosis relief,the pain score at 12,24,36,48 h after operation,and the levels of CRP and IL-6 at 1-3 d after operation between the two groups(P>0.05);the stent placement time,operation time,gastrointestinal function recovery time,first eating time,extubation time and hospitalization time of the observation group were shorter than those of the control group,the operation cost was less than that of the control group,and the total incidence of postoperative complications was lower than that of the control group(P<0.05).Conclusion Compared with digestive tract stent placement under X-ray monitoring,endoscopic digestive tract stent placement in the treatment of digestive tract stenosis can effectively shorten the operation time,decrease the operation cost,reduce the postoperative complications and accelerate the postoperative recovery under the premise of ensuring the success rate of stent placement and the effect of stenosis relief.

关 键 词：消化道支架 消化道狭窄 X线 内镜 介入治疗 

分 类 号：R57[医药卫生—消化系统]