摘要
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运用价值。方法 :经内镜水囊扩张和金属支架置入术共治疗 1 8例肠道恶性梗阻的病人 ,其中十二指肠恶性狭窄 7例 ,直肠恶性狭窄 8例 ,乙状结肠恶性狭窄 3例。结果 :7例十二指肠恶性梗阻经内镜水囊扩张后放置支架成功 ;1 1例结直肠恶性梗阻中 ,8例扩张后放置金属支架作姑息治疗 ,2例经内镜水囊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 ,可以显著降低病人的创伤和痛苦 。
Objective:To discuss the clinical value of end os copic balloon dilatation and metal stent endoprosthesis for malignant intestinal obstruction.Methods:Eighteen cases with malignant intestinal obstruction wer e trea ted with endoscopic balloon dilatation and metal stent endoprosthesis,including 7 cases of duodenal malignant stricture, 8 cases of rectal malignant stricture and 3 cases of sigmoid malignant stenosis .Results: Seven cases of duodenal malignant obstruction were all succ essfully inserted metal stents after balloon dilatation ,and showed relief of ob structive symptoms. For 11 cases of colorectal malignant stricture, 8 were inser ted metal stents for pallitive treatment,2 underwent subsequent elective surgica l resection, 1 was failure.Conclusions:Endoscopic balloon dilation and metal stent endopros thesis for malignant intestinal obstruction is a safe, economical, effective and well tolerated method.It can reduce the patients' trauma and pain, and increase the patients' living quality.
出处
《中国内镜杂志》
CSCD
2003年第6期16-18,共3页
China Journal of Endoscopy
