经内镜自膨式金属支架序列置入在胆道及十二指肠恶性梗阻治疗中的应用

摘要： 目的 评价经内镜置入双支架治疗胆道及十二指肠恶性梗阻的疗效。方法 回顾性分析我科通过内镜方法先后或同时放置胆道及十二指肠金属支架治疗胆道及十二指肠恶性梗阻患者 32 例的临床资料， 观察患者治疗效果， 比较治疗前后胆红素及肝功能指标变化情况。结果 所有患者均成功置入双支架， 患者术后肝功能各项指标较术前均有所改善， 梗阻症状得到缓解。结论 经内镜置入双支架治疗胆道及十二指肠梗阻是一种安全、 有效的方法。关键词： 支架； 十二指肠梗阻； 十二指肠镜检查； 胆道梗阻； 自膨式金属支架

Application of simultaneous self-expandable metal stents for palliation ofmalignant biliary and duodenal obstruction

Abstract: Objective To evaluate the clinical effect of the application of simultaneous metal stents for treatment ofbiliary and duodenal obstruction. Methods A retrospective review of clinical data in 32 patients underwent simultaneousplacement of biliary and duodenal metal stent was performed. Changes of bilirubin and liver function indexes were observedbefore and after treatment in patients. Results The biliary stent placement and duodenal stent placement were successivelyperformed in all patients. The indexes of liver function were improved, and the symptoms were relieved. Conclusion Thecombined self-expandable metal stenting for biliary and duodenal obstruction is a safe and effective treatment method.