金属内支架置放术治疗胃肠道狭窄或梗阻
ACADEMIC JOURNAL OF JIANGSU UNIVERSITY(MEDICINE)(2002)
Abstract
目的:探讨金属内支架置放术治疗胃肠道狭窄或梗阻的疗效.方法:对19例胃肠道狭窄或梗阻患者术前口服60%泛影葡胺或钡剂灌肠造影明确梗阻部位.术中内镜检查并再行泛影葡胺造影,了解狭窄口大小及狭窄段长度,经内镜插入导丝,沿导丝引入带支架的推送器,在X线及内镜双重监视下释放支架.结果:19例置放支架26次23枚,置2枚支架4例,一次成功率87%.发生支架移位1例,再狭窄1例,出血1例.带支架生存2~16个月,平均6.5个月.结论:金属内支架技术操作相对简单,创伤较小,适应证较宽,能迅速缓解梗阻症状,恢复饮食,使生活质量提高,生存期延长,是治疗失去手术切除机会的胃肠道恶性梗阻患者的一个较好手段.
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