经内镜钳道肠道支架与经肛肠梗阻导管治疗大肠癌性梗阻的临床疗效对比  

Colorectal stenting vs ileus tube drainage for treatment of acute malignant colorecta obstruction

作　　者：陈思杰 黄中华 郭朝书 

机构地区：[1]莆田市第一医院消化内科,福建省莆田市351100

出　　处：《世界华人消化杂志》2014年第26期4036-4040,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨放置经内镜钳道金属支架和经肛肠梗阻导管治疗大肠癌性梗阻的临床价值.方法:回顾性分析在X线辅助下放置经内镜钳道金属支架或肠梗阻导管治疗大肠癌性梗阻患者共45例.金属支架组27例.肠梗阻导管组18例.观察患者术后梗阻缓解情况和并发症.结果:大肠癌性梗阻患者中行金属支架组27例,放置成功率为96.3%(26/27).肠梗阻导管组18例均一次性成功,成功率100%.放置成功后1-4 d梗阻症状均缓解.解除梗阻后6-8 d,38例行外科Ⅰ期手术治疗,术后恢复良好,无吻合口漏及感染等并发症.结论:经内镜放置金属支架及肠梗阻导管治疗大肠癌性梗阻,能有效缓解患者的梗阻症状,和提高患者的生活质量,值得临床推广应有,但各有优劣性.AIM： To compare the effect of endoscopic colorec- tal stenting vs ileus tube drainage for treatment of acute malignant colorectal obstruction. METHODS： With the aid of fluoroscopy, 45 patients with acute malignant colorectal ob- struction were treated by endoscopic colorectal stenting （n = 27） or ileus tube drainage （n = 18）. Postoperative remission and complications were compared between the two groups. RESULTS： The technical success rate of colorec- tal stenting was 96.3%, and that of ileus tube drainage was 100%o Relief of symptoms oc- curred within 1-4 d. Thirty-eight patients under- went subsequent elective surgical resection 6-8 d after obstruction relief, without complications ofanastomotic leakage or intraperitoneal infection. CONCLUSION： Preoperative stenting and ileus tube drainage in acute colonical obstruction can effectively relieve obstruction and improve the quality of life, although each has its own advan- tages and disadvantages.

关 键 词：内镜 金属支架 肠梗阻导管 结直肠癌 梗阻 

分 类 号：R735.34[医药卫生—肿瘤]