经肛型肠梗阻导管置入在急性左半结直肠恶性梗阻中的应用  

Application of transanal decompression tube for acute malignant left-sided colorectal obstruction

作　　者：郭永团[1] 杜洪涛[1] 李德春[1] GUO Yongtuan;DU Hongtao;LI Dechun(Department of Radiology,Xuzhou Central Hospital,Xuzhou 221009,P.R.China)

机构地区：[1]江苏省徐州市中心医院放射科,江苏徐州221009

出　　处：《医学影像学杂志》2018年第10期1698-1700,共3页Journal of Medical Imaging

摘　　要：目的探讨经肛型肠梗阻导管置入在急性左半结直肠恶性梗阻患者中的应用价值。方法回顾性分析我院收治的30例急性左半结直肠恶性肿瘤梗阻患者临床资料。患者先行经肛型肠梗阻导管置入,减压后行肿瘤切除一期肠吻合,术后随访1月。结果 30例患者行肠梗阻导管置入,成功率96. 7%(29/30),临床症状缓解率100%(29/29),均未出现肠穿孔并发症,2例患者操作过程中肠道轻微出血,经抗凝药物治疗后好转。减压后行肿瘤切除一期肠吻合,术后1例出现切口感染,1例患者出现吻合口狭窄,无吻合口瘘并发症发生。结论经肛型肠梗阻导管置入治疗急性左半结直肠恶性肠梗阻简单、安全、有效、经济,为肿瘤切除一期肠吻合创造了有利条件。Objective To investigate the clinical value of the decompression tube for acute malignant left-sided colorectal obstruction. Methods Clinical data of 30 patients with acute malignant left-sided colorectal obstruction were analyzed retrospectively. Patients underwent placement of the decompression tube as a bridge to primary resection and anastomosis, and followed up for 1 month after surgery. Results 30 patients underwent placement of the decompression tube, the success rate was 96.7% （29/30）, clinical symptom remission rate was 100%（29/29）. None of the intestinal perforation complications occurred, and 2 patients suffered minor intestinal bleeding during operation, and improved after anticoagulant therapy. Primary resection and anastomosis were successfully performed after colonic decompression in all patients. 1 patient occurred wound infection, and 1 patient occurred anastomotic stenosis after surgery. No anastomotic fistula occrured. Conclusion The transanal decompression tube can serve as an easy, safe, effective and economic bridge to surgery for acute malignant left-sided colorectal obstruction.

关 键 词：肠梗阻导管 左半结直肠癌 结肠梗阻 介入放射学 

分 类 号：R735.3[医药卫生—肿瘤] R815[医药卫生—临床医学]