论文部分内容阅读
目的经内镜置入金属内支架缓解不能手术的胃十二指肠恶性梗阻患者的症状。方法 31例胃十二指肠恶性梗阻患者均有反复恶心呕吐症状,且不能手术治疗。在透视监视下,使用介入放射学方法置入33个自膨胀式金属内支架。结果 31例患者支架置入均成功,随访期间患者均能进食,呕吐减轻,生活质量提高。无严重并发症发生。结论金属内支架置入是对胃十二指肠恶性梗阻一种简单、有效的治疗方法,对不能手术的胃出口部狭窄和术后吻合口狭窄有很好的缓解作用。
Objective To reduce the symptoms of patients with inoperable gastric and duodenal malignant obstruction by endoscopic metal stent placement. Methods 31 patients with malignant duodenal obstruction of the stomach had repeated symptoms of nausea and vomiting and could not be treated with surgery. Under perspective monitoring, 33 self-expanding metal stents were implanted using interventional radiology. Results All the stents were successfully implanted in all 31 patients. During follow-up, all patients were able to eat, reduce vomiting and improve their quality of life. No serious complications occurred. Conclusion Metal stent placement is a simple and effective treatment for malignant duodenal obstruction of gastric and duodenum. It has a good alleviation effect on inoperable gastric outlet stenosis and postoperative anastomotic stenosis.