中华消化内镜杂志
中華消化內鏡雜誌
중화소화내경잡지
CHINESE JOURNAL OF DIGESTIVE ENDOSCOPY
2011年
8期
452-455
,共4页
麻树人%杨卓%张宁%宗修昆%张雪峰%蒋会勇%高飞%赵志锋%赵云峰%高峰
痳樹人%楊卓%張寧%宗脩昆%張雪峰%蔣會勇%高飛%趙誌鋒%趙雲峰%高峰
마수인%양탁%장저%종수곤%장설봉%장회용%고비%조지봉%조운봉%고봉
胰腺肿瘤%胆管梗阻%胰胆管造影术,内窥镜逆行%姑息疗法
胰腺腫瘤%膽管梗阻%胰膽管造影術,內窺鏡逆行%姑息療法
이선종류%담관경조%이담관조영술,내규경역행%고식요법
Pancreatic neoplasmg%Bile duct obstruction%Cholangiopancreatography,endoscopic retrograde%Palliative care
目的 评价内镜治疗在晚期胰腺癌姑息治疗中的作用.方法 回顾1例晚期胰腺癌手术无法切除的典型病例.患者相继出现上消化道梗阻、梗阻性黄疸、消化道出血等问题,多次接受内镜下肠道、胆道多支架治疗及消化道止血治疗,并在经口无法正常完成内镜治疗时采用经腹壁小肠造瘘逆行进镜完成内镜逆行胰胆管造影及胆道支架置入术.结果 上消化道梗阻、梗阻性黄疸、消化道出血得到治愈,直至死亡未再复发,生存期达10个月,生存质量好.结论 内镜是治疗晚期胰腺癌继发消化管梗阻(胃肠道、胆管、胰管)的首选方法,安全、有效.
目的 評價內鏡治療在晚期胰腺癌姑息治療中的作用.方法 迴顧1例晚期胰腺癌手術無法切除的典型病例.患者相繼齣現上消化道梗阻、梗阻性黃疸、消化道齣血等問題,多次接受內鏡下腸道、膽道多支架治療及消化道止血治療,併在經口無法正常完成內鏡治療時採用經腹壁小腸造瘺逆行進鏡完成內鏡逆行胰膽管造影及膽道支架置入術.結果 上消化道梗阻、梗阻性黃疸、消化道齣血得到治愈,直至死亡未再複髮,生存期達10箇月,生存質量好.結論 內鏡是治療晚期胰腺癌繼髮消化管梗阻(胃腸道、膽管、胰管)的首選方法,安全、有效.
목적 평개내경치료재만기이선암고식치료중적작용.방법 회고1례만기이선암수술무법절제적전형병례.환자상계출현상소화도경조、경조성황달、소화도출혈등문제,다차접수내경하장도、담도다지가치료급소화도지혈치료,병재경구무법정상완성내경치료시채용경복벽소장조루역행진경완성내경역행이담관조영급담도지가치입술.결과 상소화도경조、경조성황달、소화도출혈득도치유,직지사망미재복발,생존기체10개월,생존질량호.결론 내경시치료만기이선암계발소화관경조(위장도、담관、이관)적수선방법,안전、유효.
Objective To investigate the therapeutic effects of endoscopy for palliative treatment of advanced pancreatic cancer. Methods A typical case of un-resectable advanced pancreatic cancer was reviewed, who underwent obstruction of upper gastrointestinal tract, obstructive jaundice and alimentary tract hemorrhage subsequently. The patient received multiple placement of intestinal tract stents, common bile duct stents and hemostatic treatment endoscopically. Because of the obstruction of upper gastrointestinal tract, jejunalostomy and retrograde endoscopy through the orificium fistulae were performed to place bile duct stents. Results The patient survived for 10 months with good life quality after diagnosis, obstruction of upper gastrointestinal tract, obstructive jaundice and alimentary tract hemorrhage were cured and didn't recur till death.Conclusion Therapeutic endoscopy, safe and effective, is the first choice for advanced pancreatic cancer complicated with obstruction of digestive tract (including gastrointestinal tract, bile duct and pancreatic duct).
