经结肠镜钳道直视下联合X线监视置入金属 支架治疗胃十二指肠恶性梗阻38例

Stent placement under fluoroscopic monitoring and colonscopic direct vision for the treatment of malignant gastroduodenal obstruction: a report of 38 cases

摘要:

目的 探讨经结肠镜钳道（钳道直径3.8 mm）直视下置入金属支架治疗胃十二指肠恶性梗阻的操作方法及疗效。方法 该组38例胃十二指肠恶性梗阻患者在联合 X 线监视经结肠镜钳道直视下，置入42枚金属内支架治疗。结果 38例患者支架置入均获得了成功，随访期间患者均能进食流质或普食，呕吐减轻，生活质量提高，未出现严重并发症。结论 经结肠镜钳道直视下联合 X 线监视置入金属内支架治疗胃十二指肠恶性梗阻，安全有效，操作简便、时间短，患者痛苦小，定位准确，支架一次性置入成功率高、覆盖病变完全，同时利用现有的大钳道结肠镜，不需要购置特制的大钳道胃镜，充分利用了设备资源，适合推广应用。

Abstract:

Abstract: 【Objective】 To discuss the operational technique and clinical effect of metallic stentplacement in treating malignant gastroduodenal obstruction. 【Methods】 Metallic stent placement under fluoroscopic monitoring and colonscopic direct vision was performed in 38 patients with malignant gastroduodenal obstruction. A total of 42 metallic stents was used. 【Results】 The procedure was successfully completed in all 38 patients. During the follow-up period, all the patients could take liquid or ordinary diet, and were markedly relived of vomiting. The living quality was much improved and no serious complications occurred. 【Conclusion】 Under fluoroscopic monitoring and colonoscopic direct vision, stent placement is a safe, effective, technically-simple and time-saving procedure for the treatment of malignant gastroduodenal obstruction with less sufferings to the patient. Therefore, it is definitely worth popularizing this technique in clinical practice.