超细内镜在左半结直肠癌性肠梗阻治疗中的应用研究  

Application of supersUm endoscope in treatment of colonic obstruction in left colorectal cancer

作　　者：沈毅慧[1] 张立献[1] 石磊[1] 迟洪霞[1] 侯慧清[1] 袁友华[1] 

机构地区：[1]华北石油管理局总医院消化内科,河北任丘062552

出　　处：《中国医师进修杂志》2013年第10期31-34,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨超细内镜放置经肛型肠梗阻减压导管在左半结直肠癌性肠梗阻中的应用。方法选择左半结直肠癌性肠梗阻患者32例，按随机数字表法分为普通肠镜组与超细内镜组，每组16例，比较两组置管成功率、置管操作时间及接触X线时间。结果普通肠镜组16例患者，成功15例，失败1例；超细内镜组成功13例，失败3例，两组置管成功率比较差异无统计学意义（χ^2=1．143，P=0．285）。在两组置管成功的病例中，普通肠镜组置管操作时间为（42±15）min，超细内镜组置管操作时间为（20±6）min，两组比较差异有统计学意义（t=3．895，P=0．005）。普通肠镜组接触X线时间为（20±12）min，超细内镜组接触X线时间为（5±2）min，两组比较差异有统计学意义（t=-3．596，P=0．007）。结论超细内镜结合无痛麻醉技术的应用，可使经肛型肠梗阻减压导管的置入更安全、简便。Objective To discuss the application of transanal placement of ileus tube in treatment of colonic obstruction in left colorectal cancer. Methods Thirty-two patients with left malignant colorectal obstruction were divided into ordinary colonoscope group （16 cases） and superslim endoscope group （ 16 cases） by random digits table. The catheter success rate, catheter operating time and exposure to X-ray time was compared between two groups. Results Fifteen cases were successful and 1 case was failed in ordinary colonoscope group. Thirteen cases were successful and 3 cases were failed in superslim endoscope group. There was no significant difference in the catheter success rate between two groups （χ^2 = 1.143,P= 0.285）. The catheter operating time was （42 ± 15）, （20 ±6） min in ordinary colonoscope group and superslim endoscope group, and there was significant difference between two groups （t = 3.895, P = 0.005 ）. The exposure to X-ray time was （20 ± 12）, （5 ± 2） rain,and there was significant difference between two groups （t = -3.596,P = 0.007）. Conclusion Transanal placement of ileus tube is more successful and convenient by superslim endoscope combined with anesthesia than by ordinary colonoscope.

关 键 词：肠梗阻 结肠肿瘤 超细内镜 肠梗阻减压导管 

分 类 号：R735.3[医药卫生—肿瘤]