金属支架治疗恶性梗阻性黄疸伴十二指肠梗阻47例

Therapeutic Effect of Duodenal Stent for Therapy of on Malignant Obstructive Jaundice with Duodenal Obstruction

目的:探讨经内镜置入十二指肠金属支架治疗恶性梗阻性黄疸合并十二指肠梗阻的作用。方法:恶性梗阻性黄疸合并十二指肠梗阻病例47例。经内镜置入47个十二指肠自膨式金属支架,观察临床疗效。结果:47例病人十二指肠金属支架置入均成功,随访期间,病人术后均能正常进半流质事物,黄疸基本消退,疗效满意,本组未发生严重并发症发生。结论:内镜置入金属内支架是一种简单、有效的治疗方法,对不能手术的恶性梗阻性黄疸合并十二指肠梗阻有很好的缓解作用。

Objective To explore the method of implanting duodenal metallic stent via endoscopy, and to evaluate the effect of metallic self-expanding stent in palliation of malignant biliary obstruction associated with duodenal obstruction. Methods In 47 cases of malignant obstructive jaundice with duodenal obstruction,duo- denal self-expanding metallic stents were implanted through endoscopy to induce biliary drainage. Results In 47 cases, all duodenal stents were implanted successfully. During follow-up, all patients were able to take semi-liquid food, the jaundice was alleviated, and the result was satisfactory without major complication oc- curred in all cases. Conclusion The implantation of metallic self-expanding stent is a simple and effective method offering good palliation for inoperable malignant biliary obstruction associated with duodenal obstruction.