置入支架后择期手术与急诊手术在梗阻性结直肠癌中的对比研究  

After placing stents undergoing elective surgery and emergency surgery in comparative study of obstructive colorectal cancer

作　　者：刘晖[1] 朱贤章[1] 

机构地区：[1]新疆维吾尔自治区人民医院胃肠外科,新疆乌鲁木齐830000

出　　处：《中国现代普通外科进展》2017年第3期184-187,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:探讨置入支架后择期手术与急诊外科手术2种治疗方式的临床价值。方法:回顾性分析90例梗阻性结直肠癌患者的临床资料。其中30例临时置入金属支架,择期手术治疗(支架组);60例行急诊手术治疗(急诊手术组)。比较支架组与急诊手术组的一期切除吻合率、手术时间、术后通气时间、并发症发生率和住院期间病死率等指标。结果:支架组一期切除吻合率(96.67%)明显高于急诊手术组(56.67%,P<0.001)。支架组术后并发症(6.67%)明显低于急诊手术组(26.67%,P<0.05)。支架组住院期间病死率与急诊手术组相比,差异无统计学意义(P>0.05)。支架组手术时间、术后通气时间分别为(156.13±49.79)min,(3.60±1.40)d,明显低于急诊手术组(P<0.05)。结论:置入支架可迅速、有效缓解梗阻性结直肠癌症状。置入支架后择期手术与急诊手术相比可增加一期切除吻合率,减少并发症,可作为缓解梗阻性结直肠癌的一项有效治疗方法。Objective： To investigate the clinical value of two kinds of treatment methods of selective operation and emergency surgery after implantation of stents. Methods： Methods the clinical data of 90 patients with obstructive colorectal cancer were analyzed retrospectively. Temporary placement of metal stents in 30 cases,Elective surgical treatment （stent group）; 60 cases of emergency operation （emergency operation group）. Comparing stent group and a emergency surgical resection and self-agreement, operation time, postoperative ventilation time, complications and hospitalization mortality indicators. Results： stent group one stage resection self-agreement （96.67%） were significantly higher than those of emergency surgery group（56.67%, P〈 0.001）. Post-operative complications（6.67%） stent group was obviously lower emergency surgical group（26.67%, P〈 0.05）. Support group hospitalization mortality compared with emergency surgery group, The difference was not statistically significant（P〉0.05）.Support the operative time, postoperative ventilation time （156.13±49.79） min and （3.60±1.40） d, respectively, significantly lower than the emergency treatment （P〈 0.05）. Conclusion： Implant stents can rapidly and effectively alleviate symptoms of obstructive colorectal cancer. After placing stents undergoing elective surgery compared with emergency surgery can increase the resection and self-agreement, reduce the complications and can be used as a effective relieve obstructive colorectal cancer treatment.

关 键 词：结直肠肿瘤 肠梗阻 支架 择期手术 急诊手术 

分 类 号：R735.5[医药卫生—肿瘤]