肠道恶性梗阻扩张和支架治疗的临床价值

The clinical value of balloon dilatation and stent endoprosthesis for malignant intestinal obstruction.

目的 探讨经内镜水囊扩张和金属支架置入术治疗肠道恶性梗阻的临床价值。方法 经内镜水囊扩张和金属支架置入术共治疗 12例肠道恶性梗阻的病人 ,其中十二指肠恶性狭窄 5例 ,直肠恶性狭窄 5例 ,乙状结肠恶性狭窄 2例。结果 5例十二指肠恶性梗阻经水囊扩张后放置支架成功 ,均解除梗阻症状。 7例结直肠恶性梗阻中 ,4例扩张后放置金属支架作姑息治疗 ,2例经扩张和支架治疗解除梗阻后接受手术治疗 ,1例直肠癌术后狭窄伴盆腔广泛转移者扩张治疗失败。结论 经内镜水囊扩张和金属支架置入术治疗肠道恶性狭窄梗阻是一种操作简单、经济有效、并发症少的方法 ,可以显著减少病人的创伤和痛苦 。

Objective To discuss the clinical value of endoscopic balloon dilatation and metal stent endoprosthesis for malignant intestinal obstruction. Methods Twelve cases with malignant intestinal obstruction were treated with endoscopic balloon dilatation and metal stent endoprosthesis, including 5 cases of duodenal malignant stricture, 5 cases of rectal malignant stricture and 2 cases of sigmoid malignant stenosis. Results Five cases of duodenal malignant obstruction were all successfully inserted metal stents after balloon dilatation ,and showed relief of obstructive symptoms. For 7 cases of colorectal malignant stricture, 4 were inserted metal stents for palliative treatment, 2 underwent subsequent surgical resection , 1 was failure. Conclusion Endoscopic balloon dilatation and metal stent endoprosthesis for malignant intestinal obstruction is a safe , economical, effective and well tolerated method. It can relieve the patients' trauma and pain, and increase the patients' living quality.