内镜治疗结直肠癌合并肠梗阻28例的体会  

Management of obstructive colorectal cancer with endoscopic stenting (28 cases)

作　　者：查勇[1] 寸英丽[1] 黄云超[1] 马春笋[1] 张中红[1] 陈训如 

机构地区：[1]昆明医学院第三附属医院腹部肿瘤外科,云南昆明650118 [2]昆明总医院,云南昆明650031

出　　处：《中国内镜杂志》2010年第2期192-194,共3页China Journal of Endoscopy

摘　　要：目的探讨内镜治疗结直肠癌合并肠梗阻的价值。方法回顾性分析云南省肿瘤医院2005年7月～2008年7月内镜治疗的28例结直肠癌合并肠梗阻患者的临床资料。其中,病变位于横结肠1例,降结肠14例,乙状结肠3例,高位直肠10例。结果内镜支架置入28例,成功22例(78.5%),解除梗阻20例(71.4%),并发穿孔2例,支架脱出1例,二期再手术3例。无治疗相关的死亡。结论内镜治疗结直肠癌并肠梗阻具有安全、有效、微创的特点,特别适合于肿瘤位于降结肠、乙状结肠和高位直肠的患者。【Objective】To assess feasibility and clinical value of endoscopic techniques to treat malignant colorectal obstruction.【Methods】From July 2005 to July 2008,in Yunnan Tumor Hospital,a total of 28 patients with malignant bowel obstruction underwent endoscopic treatment.All patients presented with clinical symptoms and signs of bowel obstruction.The cancer diagnosis was confirmed in all cases by a histopathologic examination.The tumor was located in the transverse colon in 1 case,ascending colon in 14 patients,sigmoid colon in 3 patients,and rectum in 10 patients.【Results】Decompression with a stent were attempted in 28 cases,technical success were achieved in 22 cases,clinical success in 20 cases.Postoperative complications occurred in 2 cases,including perforation in 2 cases,stent migration in 1 case,no procedure-related mortality occurred.Stents were used as a bridge to surgery in 3 cases.【Conclusion】Endoscopic treatment of malignant bowel obstruction is a safe and effective strategy,especially in patients with acute malignant left-sided colonic obstruction.It can reduce procedure-related complication and improve the quality of life.

关 键 词：结直肠癌 急性肠梗阻 内镜治疗 

分 类 号：R735.3[医药卫生—肿瘤]