梗阻性大肠癌急诊手术与结直肠支架介入后择期手术的疗效比较  

Comparison of the efficacy of emergency surgery and elective surgery after colorectal stent intervention for obstructive colorectal cancer

作　　者：任天来 张杰 郭海英 李银山 

机构地区：[1]武陟县人民医院普外科,454950

出　　处：《中国现代药物应用》2017年第22期1-3,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨比较梗阻性大肠癌急诊手术与结直肠支架介入后择期手术的临床疗效。方法选取43例急诊手术治疗的梗阻性大肠癌患者作为对照组;另选取同期接受结直肠支架介入后择期手术治疗的43例梗阻性大肠癌患者作为观察组。观察两组手术一般情况,比较两组一期切除术吻合成功情况、并发症发生情况、随访病死情况和生存期。结果两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量、术后通气时间明显少于对照组,差异具有统计学意义(P<0.05)。观察组一期切除术吻合成功率明显高于对照组,差异具有统计学意义(χ2=26.174,P<0.05)。观察组并发症发生率16.28%(7/43)明显低于对照组的34.88%(15/43),差异具有统计学意义(χ2=3.909,P<0.05)。两组病死率、平均生存期比较差异无统计学意义(P>0.05)。结论结直肠支架介入后择期手术在梗阻性大肠癌治疗中,较急诊手术具有手术效果更佳、术后并发症低、一期切除术吻合率高等显著优势,值得应用。Objective To discuss the clinical efficacy of emergency surgery and elective surgery after colorectal stent intervention for obstructive colorectal cancer. Methods There were 43 obstructive colorectal cancer patients treated with emergency surgery as control group, and concurrent 43 obstructive colorectal cancer patients treated with elective surgery after colorectal stent intervention as observation group. The general operation condition of the two groups was observed, and the success condition of one-stage resection anastomosis, complication status, follow-up fatality status and survival time of the two groups were compared. Results Both groups had no statistically significant difference in operation time（P0.05）. The observation group had obviously less intraoperative bleeding volume and postoperative ventilation time than the control group, and the difference was statistically significant（P0.05）. The observation group had obviously higher successful rate of one-stage resection anastomosis than the control group, and their difference was statistically significant（χ2=26.174, P0.05）. The observation group had obviously lower incidence of complications as 16.28%（7/43） than 34.88%（15/43） in the control group, and the difference was statistically significant（χ2=3.909, P0.05）. Both groups had no statistically significant difference in mortality and mean survival time（P0.05）. Conclusion Compared with the emergency operation, the selective surgery after colorectal stent intervention for obstructive colorectal cancer has the advantages of better operation effect, lower postoperative complications and higher anastomosis rate in one-stage resection, and it is worthy of application.

关 键 词：梗阻性大肠癌 急诊手术 结直肠支架介入术 临床疗效 

分 类 号：R735.34[医药卫生—肿瘤]