【摘要】 背景:予恶性胃出口梗阻合并胆总管梗阻者联合置入肠道和胆道支架是首选的姑息性治疗方法之一。目的:观察胆肠联合支架置入治疗恶性胃出口梗阻合并胆总管梗阻的临床疗效。方法:在内镜和X线造影下予22例恶性胃出口梗阻合并胆总管梗阻者放置经内镜活检孔肠道支架,以及从经皮经肝胆管引流(PTCD)途径放置胆道支架,胆道支架穿过肠道支架网孔,远端位于肠道支架内。结果:22例均成功置入肠道支架(24枚)和胆道支架(22枚)。术后造影示肠道和胆道均通畅,无严重并发症发生,平均生存期为124d。结论:胆肠联合支架置入姑息性治疗恶性胃出口梗阻合并胆总管梗阻安全有效,近期疗效较满意。更多还原

【Abstract】 Background: Combined intestinal and biliary stenting is one of the first choice palliative therapies for patients with malignant gastric outlet and biliary obstructions. Aims: To evaluate the clinical efficacy of combined intestinal and biliary stenting in the palliative therapy of malignant gastric outlet and biliary obstructions. Methods: Twenty-two patients with malignant gastric outlet and biliary obstructions underwent combined intestinal and biliary stenting. Intestinal stents were implanted by way of gastroscopy under X-ray monitoring. Later,biliary stents were implanted via percutaneous transhepatic cholangial drainage (PTCD) pathway. Biliary stent passed through the side hole of intestinal stent and its distal segment was located in the lumen of intestinal stent. Results: Twenty-four intestinal stents and 22 biliary stents were implanted successfully in these 22 patients,no lethal complications occurred,and the average survival period was 124 days. Conclusions: Combined intestinal and biliary stenting is an effective and safe method for palliative therapy of malignant gastric outlet and biliary obstructions with satisfactory short-term results.更多还原