金属支架置入治疗上消化道癌性梗阻的临床应用

目的 回顾性分析支架置入治疗上消化道癌性梗阻的方法及并发症的防治. 方法 本组53例上消化道癌性狭窄患者接受金属支架置入治疗.观察治疗效果及并发症情况 . 结果 50例支架1次放置成功,成功率为94.3%.放置支架后患者的一般状况很快好转.并发症有胸痛及异物感、腹泻、支架移位、再狭窄、胃内容物返流、出血.结论对于失去手术机会或拒绝接受手术治疗的上消化道癌性梗阻患者,经口腔放置金属支架是一种操作安全可靠、微创、简单易行、见效快的治疗方法.

Clinical Application of the Covered Stent in the Treatment of Malignant Upper Gastrointestinal Tract Obstruction

Objective To evaluate the clinical efficacy and complications of the covered stents in the treatment of malignant upper gastrointestinal tract stricture.Methods 53 cases with malignant upper gastrointestinal tract obstruction underwent treatment with covered stents.The therapeutic efficiency and the complications were observed.Results The procedures were successful in 50 cases in one time,the successful rate was 94.3%.The complications included chest pain and foreign body sensation,diarrhea,restenosis,stent migration,esophagus reflux,bleeding.Conclusion The treatment with covered stents was a safe,simple and effective management for the patients with malignant upper gastrointestinal tract obstruction who had lost the chance of surgical resection or refused to undergo operation.