经内镜支架置入术联合腹腔镜手术治疗左半结肠癌性梗阻的疗效分析  

Analysis of endoscopic stent placement combined with laparoscopic surgery for the treatment of left colorectal cancer obstruction

作　　者：郑九建 

机构地区：[1]丽水市中心医院,浙江丽水323000

出　　处：《浙江医学教育》2017年第5期55-57,共3页Zhejiang Medical Education

摘　　要：目的:分析经内镜支架置入术联合腹腔镜手术治疗左半结肠癌性梗阻的临床疗效。方法:选取2012年1月至2016年12月于我院就诊的左半结肠癌性梗阻患者48例,按照治疗方法的不同,分为观察组(N=22)与对照组(N=26),观察组患者经内镜支架置入术联合腹腔镜手术治疗,对照组患者给予急诊开腹左半结肠癌根治性切除术治疗,对比2组患者的治疗效果。结果:观察组患者的手术时间、术后肠功能恢复时间、住院时间短于对照组(P<0.05),术中出血量显著少于对照组(P<0.05),住院费用高于对照组(P<0.05);观察组患者的并发症发生率低于对照组(P<0.05)。结论:经内镜支架置入术能够有效缓解肠梗阻,术后进行腹腔镜手术治疗的安全性更高,患者身体康复更快,有临床推广价值。[Objective]To observe the clinical efficacy of endoscopic stent implantation combined with laparoscopic surgery for the treatment of left colon cancer obstruction.[Method]48 patients with left colorectal obstruction were randomly selected from January 2013 to December2016 in our hospital.According to the different treatment methods,they were divided into observation group (N = 22) and control group (N = 26).The observation group were treated with endoscopic stenting combined with laparoscopic surgery,while the control group were treated with radical resection laparoscopic treatment of colorectal cancer.The therapeutic effectof the two groups wascompared.[Result]The operative time,postoperative intestinal function in patients with recovery time and hospitalization time was significantly shorter than the control group (P < 0.05).The amount of bleeding was significantly less than the control group (P < 0.05).The hospitalization cost was significantly higher than the control group (P < 0.05).The incidence of complications in the observation group was significantly lower than that of the control group (P < 0.05).[Conclusion]Endoscopic stent placement can effectively relieve intestinal obstruction,improve the safety of laparoscopic surgery,and the patients can recover more quickly.

关 键 词：左侧大肠癌性梗阻 内镜 支架置入术 腹腔镜 

分 类 号：R656.9[医药卫生—外科学]