内支架对大肠癌急性梗阻一期切除吻合疗效的探讨  

Investigate the Clinical Efficacy of Inner Stents in Obstruction of Colorectal Cancer Resection and Anastomosis

作　　者：石廷慧[1] 林保冠[1] 汪波[1] 吴世畅[1] 张全鹏[2] 

机构地区：[1]海南省农垦三亚医院急诊科,海南三亚572000 [2]海南医学院解剖学教研室,海南海口571199

出　　处：《现代生物医学进展》2014年第12期2286-2288,共3页Progress in Modern Biomedicine

基　　金：海南省自然科学基金项目(812193)

摘　　要：目的:探讨内支架对大肠癌急性梗阻一期切除吻合的疗效。方法:选择2010年7月至2012年7月来我院急诊治疗确诊为大肠癌导致急性肠梗阻的患者98例,随机分为观察组和对照组各49例,观察组患者植入内支架,一周后行一期吻合切除术,对照组行急诊切除手术。观察和比较两者患者一期切除率、治疗效果和并发症的情况。结果:观察组一期切除率为95.7%(47例)较对照组分71.4%(35例)高;两组比较差异均有统计学意义(x2=22.9,P<0.05);实验组症状缓解48例(缓解率98%),对照组症状缓解33例(缓解率67.3%),两组临床疗效比较有显著性差异(x2=33.3,P<0.001),实验组术后并发症发生率(10.2%)要明显小于对照组(26.5%)(x2=9.6,P<0.01)。结论:大肠癌急性梗阻术前植入内支架能有效提高患者的一期手术吻合率和治疗效果,降低术后并发症,值得在临床推广。Objective：to Investigate the clinical efficacy of inner stents in Obstruction of Emergency Colorectal Cancer Resection and Anastomosis.Methods：98 cases that diagnose Obstruction of Emergency Colorectal Cancer accept treatment from July 2010 to July 2012 in our hospital were divided into two groups randomly,the treating control was implant metallic stents,Onstage operation After a week while the control group was treated with Emergency surgery.To observed and compared with onestage resection rate,therapeutic effect and complications.Results：the treating group onestage resection rate（95.7%） is higher than that（71.4%） in the control group,which is statistical（χ^2=22.9,P0.001）;the treating group symptoms ease 48 case is higher than the control group 33case,which is statistical（χ^2=33.3,P0.001）.The incidence of complications is under than control group,which is statistical（χ^2=9.6,P0.01）.Conclusion：the clinical effect of interferon-alpha with pirarubicin treating in the uremia combined bladder cancer is convincing and reliable,prevent recurring,adverse reactions,which worth promoting.

关 键 词：大肠癌 急诊 肠梗阻 一期手术 疗效 

分 类 号：R735.3[医药卫生—肿瘤]