经肛肠梗阻导管与经结肠镜放置金属支架在低位大肠癌性梗阻治疗中的对比研究  

Contrast ileus tube through anus and endoscopic colorectal stent in pre-operative therapy for lower position malignant colorectal obstruction

作　　者：邢喆[1] 赵莹[1] 朱佳[1] 孙婷[1] 高娜[1] 向国卿[1] 

机构地区：[1]辽宁省肿瘤医院内镜室,沈阳110042

出　　处：《疑难病杂志》2013年第3期200-202,共3页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的对比研究经肛肠梗阻导管与经结肠镜放置金属支架在低位大肠癌性梗阻治疗中的临床疗效。方法将符合标准的100例低位大肠癌性梗阻患者,随机分为观察组(50例)和对照组(50例),观察组采用经肛肠梗阻导管治疗,对照组患者在X线辅助下经结肠镜放置金属支架进行治疗,待患者梗阻消失后行大肠癌一期手术切除。观察比较2组置管情况及临床疗效。结果对照组中低位大肠癌性梗阻患者行金属支架植入术50例,44例放置金属支架成功,成功率为88.0%;而观察组经肛行肠梗阻导管放置术,50例全部放置成功,成功率为100%,2组差异有统计学意义(P<0.05)。观察组腹痛、腹胀症状缓解时间显著短于对照组(P<0.05),而围腹缩小程度及肠管内径变化差异无统计学意义(P>0.05)。结论经肛肠梗阻导管减压治疗低位大肠癌性肠梗阻安全可行,更有优势和竞争力,值得临床推广并进一步深入研究。Objective To compare the chnical efficacy between ileus tube through anus and endoscopic colorectal stent in pre-operative therapy for lower position malignant colorectal obstruction. Methods One hundred patients were divided into two groups randomly, colorectal stent group （control group） and ileus tube through anus group （observe group）, and then all patients with colorectal cancer underwent surgical resection. The clinical effect were compared between the two groups. Resuits 44 cases of colorectal stent were successful with a success rate of 88.0%, while in observe group, all 50 cases placed successfully and the success rate was 100% （ P 〈 0.05） ; the symptoms of abdominal pain and bloating average remission time in observe group was significantly shorter than the control group （ P 〈 0.05 ）. Conclusion The treatment for low malig- nant colorectal obstruction with ileus tube through anus is safe and feasible, and has more advantages and competitiveness than endoscopic colorectal stent treatment, which is worthy for further study.

关 键 词：经肛肠梗阻导管 经结肠镜放置金属支架 低位大肠癌性梗阻 临床疗效 

分 类 号：R735.3[医药卫生—肿瘤]