经肛肠梗阻减压管在左半结肠癌伴梗阻中的应用价值研究  

Transanal placement of ileus decompression tube for left colon carcinoma with obstruction

作　　者：郑晓玲[1] 何利平[1] 梁玮[1] 方超英[1] 王丽珍[1] 高丽影[1] 林德琴[1] 

机构地区：[1]福建省立医院消化内镜中心,福州350001

出　　处：《中华消化内镜杂志》2010年第12期639-641,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的 探讨经肛肠梗阻减压管在左半结肠癌伴梗阻中的应用价值.方法 回顾性分析总结2007年1月至2009年12月施行经结肠镜和导丝引导透视下置入肠梗阻减压管缓解肠梗阻治疗的35例完全性恶性肠梗阻患者的临床资料以及治疗结果.结果 35例患者全部一次性插管成功.34例减压7～10 d后行左半结肠癌Ⅰ期手术;1例置管2 d后肠减压管脱落,重新置管成功后8 d行左半结肠癌Ⅰ期手术.所有患者置管后均未出现穿孔及其他不良反应.结论 经结肠镜透视下置入肠梗阻减压管术操作简单安全,能快速有效缓解梗阻症状,降低了急诊手术风险,可有效避免结肠造口及Ⅱ期根治手术.Objective To explore the value of transanal placement of ileus decompression tube in left colon carcinoma with obstruction. Methods Data of 35 patients with complete malignant colon obstruction, who underwent placement of ileus decompression tube by colonoseopy and fluoroscopy with guidewire from January 2007 to December 2009, were retrospectively studied. Results Tube placement was successfully performed with one procedure in all 35 patients. Phase I surgery was achieved in 34 patients at 7 - 10 days after decompression. The tube desquamated in 1 case 2 days after the placement, and was replaced successfully, and the patient received phase I resection 8 days after. No perforation or other complications occurred in any cases. Conclusion Placement of ileus decompression tube, assisted with colonoscopy and fluoroscopy, simple and safe, can immediately relieve the symptoms of intestinal obstruction, decrease the risk of emergency operation and help to avoid colonostomy and phase U radical operation.

关 键 词：经肛肠梗阻减压管 左半结肠癌 肠梗阻 

分 类 号：R735[医药卫生—肿瘤]