支架或导管缓解恶性大肠梗阻的临床疗效对比研究  

Comparative analysis on the clinical efficacy of self-expanding metallic stent and transanal drainage tube in the treatment of malignant large-bowel obstruction

作　　者：杨银山[1] 李林[1] 李玉雯[1] 李定坤[1] 赵玲[1] YANG Yin-shan;LI Lin;LI Yu-wen;LI Ding-kun;ZHAO Ling(Department Minimally Invasive Interventional Medicine, Yunnan Tumor Hospital, Kunming 650118, Yunnan, China)

机构地区：[1]云南省肿瘤医院微创介入医学科,云南昆明650118

出　　处：《川北医学院学报》2018年第2期251-253,共3页Journal of North Sichuan Medical College

摘　　要：目的:研究支架或导管缓解恶性大肠梗阻的临床疗效。方法:分析72例恶性大肠梗阻患者的临床资料。随机将入选者分成S组(自膨式金属支架置入内镜架桥治疗,SEMS)和T组(经肛肠梗阻导置入内镜架桥治疗管,TDT),每组36例,比较两组患者的临床疗效。结果:T组与S组大肠梗阻缓解率分别为97.2%、94.4%。T组恢复口服营养补充(oral nutritional supplements,ONS)时间明显低于S组,卡氏功能状态量表(Karnofsky performance status,KPS)评分明显高于S组(P<0.01)。结论:SEMS与TDT在恶性大肠梗阻患者中均具有良好的临床疗效,其中TDT患者恢复ONS更快,功能状况恢复情况更优秀。Objective： To analyze the clinical efficacy of self-expanding metallic stent（ SEMS） and transanal drainage tube（ TDT） in the treatment of malignant large-bowel obstruction. Methods： Clinical data of 72 patients with malignant large-bowel obstruction was retrospectively analyzed. All patients were randomly divided into two groups,group S（ SEMS training） and group T（ TDT training）,36 cases in each group. The clinical efficacy in two groups were compared. Results： The clinical success rate in group T was97. 2%,which in group S was 94. 4%. The timing of resuming to oral nutritional supplements（ ONS） in group T was obviously lower than that in group S,and the Karnofsky performance status（ KPS） score in group T was obviously higher than that in group S（ P〈0. 01）. Conclusion： Both SEMS and TDT have good clinical efficacy in treating the patients with malignant large-bowel obstruction.However,patients with TDT placement is associated with earlier ONS and is more obvious functional status.

关 键 词：经肛肠梗阻导管 自彭式金属支架 恶性大肠梗阻 肠内营养 卡氏功能状态量表 

分 类 号：R735.34[医药卫生—肿瘤] R574.2[医药卫生—临床医学]