CAJ | 학술논문

目的：探讨支架治疗胃十二指肠恶性狭窄的操作方法及临床疗效。方法选取2009年2月～2012年2月抚顺市中心医院11例胃十二指肠恶性狭窄患者，其中狭窄部位位于胃窦及幽门部4例，胃肠吻合口3例，位于十二指肠降段及以远5例，均在DSA透视引导下采用介入放射学方法，经口置入合金支架11枚，并观察术后临床疗效。结果11例患者均一次性置入支架成功，未出现并发症及不良反应，术后狭窄梗阻情况均解除，术后2个月仅1例再狭窄，其余支架均保持通畅。结论支架置入术具有操作安全简便、创伤小、恢复快、并发症少、能维持正常生理通道的特点，是有效姑息性治疗胃十二指肠恶性狭窄的手段。
목적：탐토지가치료위십이지장악성협착적조작방법급림상료효。방법선취2009년2월～2012년2월무순시중심의원11례위십이지장악성협착환자，기중협착부위위우위두급유문부4례，위장문합구3례，위우십이지장강단급이원5례，균재DSA투시인도하채용개입방사학방법，경구치입합금지가11매，병관찰술후림상료효。결과11례환자균일차성치입지가성공，미출현병발증급불량반응，술후협착경조정황균해제，술후2개월부1례재협착，기여지가균보지통창。결론지가치입술구유조작안전간편、창상소、회복쾌、병발증소、능유지정상생리통도적특점，시유효고식성치료위십이지장악성협착적수단。
Objective To explore the stent in the treatment of gastroduodenal malignant stenosis of the operation method and clinical effect. Methods In 11 cases of gastroduodenal malignant stenosis, stenosis in the pyloric antrum in 4 cases, gastrointestinal anastomosis in 3 cases, in descending segment and distal duodenum in 5 cases, all patients were given the DSA lfuoroscopy guided by interventional method, the placement of alloy 11 stents, and the curative effects were observed after operation. Result 11 patients were all one time successfully stented, no complications and adverse reactions, postoperative stenosis and obstruction were relieved after February, only one case of restenosis, stent patency of the rest are maintained. Conclusion Stent implantation is a safe and convenient operation, small trauma, rapid recovery, fewer complications, can maintain the characteristics of normal physiological channel, is an effective palliative treatment for gastroduodenall malignant stenosis means.