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目的 探讨经内镜水囊扩张和金属支架置入术治疗肠道恶性梗阻的临床价值。方法 经内镜水囊扩张和金属支架置入术共治疗 12例肠道恶性梗阻的病人 ,其中十二指肠恶性狭窄 5例 ,直肠恶性狭窄 5例 ,乙状结肠恶性狭窄 2例。结果 5例十二指肠恶性梗阻经水囊扩张后放置支架成功 ,均解除梗阻症状。 7例结直肠恶性梗阻中 ,4例扩张后放置金属支架作姑息治疗 ,2例经扩张和支架治疗解除梗阻后接受手术治疗 ,1例直肠癌术后狭窄伴盆腔广泛转移者扩张治疗失败。结论 经内镜水囊扩张和金属支架置入术治疗肠道恶性狭窄梗阻是一种操作简单、经济有效、并发症少的方法 ,可以显著减少病人的创伤和痛苦 ,提高病人的生活质量
Objective To investigate the clinical value of endoscopic balloon dilation and metal stent implantation for the treatment of malignant intestinal obstruction. Methods Twelve patients with malignant intestinal obstruction were treated with endoscopic balloon dilatation and metal stent implantation. Among them, 5 were malignant stenosis of duodenum, 5 were malignant stenosis of rectum and 2 were malignant stenosis of sigmoid colon. Results Five cases of malignant duodenal obstruction were successfully placed in the scaffolds after balloon dilatation, all of which obstructed the symptoms of obstruction. Of the 7 cases with colorectal malignant obstruction, 4 cases were treated with palliative metal stent after dilatation, 2 cases were treated by dilatation and stent treatment after the obstruction was removed, and 1 case with rectal cancer with stenosis and extensive pelvic metastasis was unsuccessful. Conclusion Endoscopic balloon dilatation and stent implantation for the treatment of malignant intestinal obstruction is a simple, cost-effective, and less complication method that can significantly reduce the patient’s trauma and pain and improve the patient’s quality of life