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结肠直肠良恶性梗阻的内支架治疗
引用本文:周祝谦,张义同,王子彬.结肠直肠良恶性梗阻的内支架治疗[J].介入放射学杂志,2009,18(3).
作者姓名:周祝谦  张义同  王子彬
作者单位:1. 济南山东大学附属千佛山医院,250014
2. 山东省医学科学院附属医院
3. 山东省胸科医院
摘    要:目的 探讨结肠、直肠良恶性梗阻内支架治疗的临床价值.方法 在X线透视或(和)内镜引导下,对30例结肠、直肠梗阻患者实施了支架置入术,梗阻部位位于直肠20例,直肠乙状结肠交界处2例,乙状结肠3例,降结肠3例,横结肠2例.结果 30例结肠、直肠梗阻患者中,放置了31枚结、直肠支架.支架置入一次成功率93%,支架放置成功者肠梗阻症状均即刻解除,未出现与支架置入相关的并发症.恶性狭窄患者生存时间平均达271d.结论 经肛门放置内支架治疗结肠、直肠梗阻,具有微创、安全、见效快、重复性强的特点.能够有效缓解患者的梗阻症状,术后并发症少,并可显著提高患者的生活质量.

关 键 词:金属支架  结肠梗阻  直肠梗阻  治疗  介入法

Stent treatment for the benign or malignant colorectal obstruction
ZHOU Zhu-qian,ZHANG Yi-tong,WANG Zi-bin.Stent treatment for the benign or malignant colorectal obstruction[J].Journal of Interventional Radiology,2009,18(3).
Authors:ZHOU Zhu-qian  ZHANG Yi-tong  WANG Zi-bin
Institution:ZHOU Zhu-qian,ZHANG Yi-tong,WANG Zi-bin. The Affiliated Qianfushan Hospital,Shangdong University,Jinan 250014,China
Abstract:Objective To discuss the clinical efficacy of stent treatment for the benign or malignant colorectal obstruction. Methods Under fluoroscopic and / or endoscopic guidance stent implantation was performed in 30 patients with colonic or rectal obstruction. The obstruction sites were located at rectum (n = 20), recto-sigmoid juncture (n = 2), sigmoid colon (n = 3), descending colon (n = 3) and transverse colon (n = 2). Results Thirty-one colorectal stents were implanted in total 30 patients, the technical succe...
Keywords:metal stent  colorectal obstruction  therapy  intervention  
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