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自膨式金属支架置入术治疗胃十二指肠狭窄临床病例研究

(2014-10-22 12:24:34)

    【摘要】

    目的 评价自膨式金属支架置入术对治疗胃十二指肠狭窄或者梗阻的效果。

    方法 2005年至2011年间行胃十二指肠自膨式金属支架置入术的24例病例资料进行回顾分析。对患者术前及术后进食情况用胃出口梗阻记分系统(GOOSS)进行评估,经配对样本秩和检验比较两组差异。

    结果 支架置入的成功率100%24/24),整个操作用时平均(25.9±11.0min20例(83.3%)患者在术后可进流质软食,患者术前GOOSS评分为0.14(P50=0),术后第7GOOSS评分为1.42分(P50=2),比较差异具有统计学意义,P0.013例患者出现消化道少量出血,无穿孔、误吸等严重并发症发生。

    结论  内镜下自膨式金属支架置入术是治疗胃十二指肠梗阻/狭窄的一种有效方法。

    关键词 金属支架;胃十二指肠狭窄;


     Self-expandable metal stents for gastric outlet and duodenal obstruction. JIAO Yue, LI Peng, JI Ming. Department of Gastroenterology, BeijingFriendshipHospital, TheCapitalMedicalUniversity,BeijingChina, 100050

    Corresponding author: , Email:

    Objective   To investigate the ef&#64257;cacy and safety of the self-expandable metal stent for treatment of gastric outlet and duodenal obstruction. Methods  Data of 24 patients with symptomatic gastric outlet and duodenal obstruction diagnosed from January 2005 to February 2011 were retrospectively studied. All patients were measured by gastric outlet obstruction scoring system (GOOSS) before and one week after the placement of self-expandable metal stent. Results  Stent placement was succeeded in all patients with a mean operation time of 25.90±11.03 min. Twenty patients (83.3%) were able to intake liquid food after the procedure. The GOOSS (P50=0) before and after stent placement were 0.14 (P50=0) and 1.42 (P50=2), respectively, with significant difference (P<0.01). Minor digestive bleeding occurred in 3 patients, but no severe complications including perforation or aspiration were observed. Conclusion  Placement of a self-expandable metal stent in patients with gastric outlet or duodenal obstruction is safe and effective for resolving obstructive symptoms.

    Key words: metal stent, gastric outlet, duodenal obstruction

     

     

     

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    冀明 单位:首都医科大学附属北京友谊医院
    所属科室:
    出生:1964-03-13
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