摘要
目的 :评价内镜下置放记忆合金支架在已无法手术的胃及十二指肠的恶性狭窄姑息治疗中的疗效。方法 :5例胃、十二指肠恶性狭窄患者 ,在内镜指导下先将导丝放置于幽门管及十二指肠狭窄部位 ,然后置记忆合金支架于狭窄部位。结果 :技术成功的为 4例 ,1例失败是由于吻合口角度不良。术后患者的梗阻症状明显减轻 ,无严重并发症 ,经口进食得以改善 ,1例发生支架闭塞。结论 :对胃及十二指肠恶性狭窄的姑息治疗 ,除手术外 ,记忆合金支架是一种可行、有效和安全的选择。
Objective:To evaluate the outcome of metal stents in providing palliative care for patients with inoperable malignant stricture of the stomach and duodenum. Methods:Five patients with complete gastric or duodenal obstruction were treated palliatively with metal stents. Five stents were placed using biliary guidewires and catheters under endoscopic guidance. Results:Technical success with improvement in the patient's oral diet was achieved in four patients,one failure was caused by severe anastomotic angulation. There were no major complications except that the stent occluded in one patient. Conclusion: Palliation of malignant gastric and duodenal strictures with metal stents is a feasible,effective and safe alternative to operation.
出处
《中国内镜杂志》
CSCD
2002年第8期4-5,共2页
China Journal of Endoscopy
关键词
胃部
十二指肠
内镜
记忆合金支架
恶性狭窄
姑息治疗
Metal Stent
Malignant Stricture of the Stomach and Duodenum
Palliative Treatment
