论文部分内容阅读
目的探讨经口释放支架治疗胃十二指肠恶性狭窄的治疗方法及临床疗效。方法12例胃十二指肠恶性梗阻患者,梗阻部位位于胃窦及幽门部4例,胃肠吻合口3例,位于十二指肠降段及以远5例,均在X线引导下采用介入放射学方法,经口腔置入记忆合金支架12枚,并观察术后临床疗效。结果12例患者均一次性置入支架成功,未出现并发症及不良反应,术后梗阻情况均解除,术后2月,支架均保持通畅,随访结果显示患者死前均未再次出现消化道梗阻症状。结论金属支架置入术具有操作安全简便、创伤小、恢复快、并发症少等特点,是无法手术治疗的胃十二指肠恶性梗阻有效的治疗方法。
Objective To investigate the treatment and clinical efficacy of oral stent for the treatment of malignant gastroduodenal stenosis. Methods Twelve patients with malignant gastroduodenal obstruction, including 4 cases with obstructive site located in the antrum and pylorus, 3 cases with gastrointestinal anastomosis, located in the descending segment of the duodenum and beyond, were under X-ray guidance Interventional radiology method, the mouth by memory alloy stent 12, and observe the clinical efficacy. Results All the 12 patients were successfully treated with one-time stent placement. No complications and adverse reactions occurred. Obstruction was relieved after operation. Stents were maintained at 2 months postoperatively. Follow-up results showed no gastrointestinal obstruction occurred before death symptom. Conclusion The stenting of metal stents is safe and easy to operate, with less trauma, faster recovery and less complications. It is an effective treatment for malignant obstruction of gastroduodenal that can not be surgically treated.