残胃、胃肠吻合口恶性病变引起的狭窄支架置入术

目的:研究残胃、胃肠吻合口恶性病变引起的狭窄支架置入术要点。方法:对我院17例残胃、胃肠吻合口恶性病变引起的狭窄支架置入术的经验教训进行总结。结果:本组17例,一次性支架置入成功率(10/17)59%,二次置入成功率(13/17)76%;有效率(12/17)70.5%;并发症包括单纯腹痛发生率为70.6%,不包括单纯腹痛并发症发生率为52.9%,死亡率11.8%。结论:支架置入术一次性成功率较低,并发症多,死亡率偏高。但对患者提高生存质量,延长生存期是有效的手段。手术成功的关键是术中正确判断解剖结构,注意输入段的引流,选择合适的裸支架。

Stent implantation for stenosis of gastroenteric stoma and malignant gastric stump

Objective:To study the key points of stent implantation for stenosis of malignant gastroenteric stoma and gastric stump.Methods:To analyze 17 cases with malignant gastric stump and stenosis of gastroenteric stoma implantated with stent.Results:The first success ratio of stent implantation was 59%(10 of 17 patients),the second was 76%(13 of 17 patients) ;the effective rate was 70.5%(12 of 17 patients),the incidence rate of complication was 70.6%,if simple abdominal pain was excluded the rate was 52.95 and mortality rate was 11.8%.Conclusion:The first success ratio of stent implantation in these cases was low,the complication after operation occurred highly,mortality rate was high.This operation is important and effective method that can improve survival quality and prolong mean survival time.To understand the anatomy structure correctly is key for successful operation,and suitble stent should be selected correctly.