金属支架置入术治疗结直肠癌梗阻与传统手术的临床疗效观察  

Clinical Observation of Metal Stent Implantation in the Treatment of Colorectal Cancer Obstruction and Traditional Surgery

作　　者：姜增利 

机构地区：[1]山东省龙口市人民医院外一科,山东龙口265701

出　　处：《中国继续医学教育》2017年第24期120-121,共2页China Continuing Medical Education

摘　　要：目的观察金属支架置入术治疗结直肠癌梗阻的临床疗效。方法选取在本院两年收治的70例结直肠癌梗阻患者,分组原则以抽签法为主,分为观察组(n=35)和对照组(n=35)。对照组予以传统手术治疗,观察组予以一期金属支架置入术缓解梗阻,二期手术切除肿瘤治疗。比较二期手术情况、并发症。结果与对照组手术时间、术后排气时间、住院时间比较,观察组的较短;与对照组的术中出血量比较,观察组的较少;与对照组并发症发生率比较,观察组较低,P<0.05。结论结直肠癌梗阻患者予以金属支架置入术治疗,可有效缩短治疗时间,减少手术创伤,减少出血量与并发症,安全可靠,节省治疗费用。Objective To observe the clinical effect of metal stent implantation in the treatment of colorectal cancer obstruction. Methods 70 cases of colorectal cancer obstruction patients were selected in our hospital in two years. The grouping principle was mainly divided into the observation group （n=35） and the control group （n=35）. The control group was given traditional surgical treatment, the observation group was given one-stage metal stent implantation to ease the obstruction, and the two stage resection of tumor treatment. The operation and complications of the two stage were compared. Results Compared with the control group, the operation time, postoperative exhaust time and hospital stay were shorter in the observation group; the intraoperative blood loss in control group was less in the observation group; the incidence of complications in the control group was lower in the observation group, P 〈 0.05. Conclusion Metal stent implantation can efectively shorten the treatment time, reduce surgical trauma, reduce bleeding and complications, safe and reliable, and save the cost of treatment in patients with colorectal cancer obstruction.

关 键 词：金属支架置入术 结直肠癌梗阻 临床疗效 

分 类 号：R735[医药卫生—肿瘤]