非透视下放置结肠金属支架在急性结肠梗阻病人中的应用分析  

Application of colonoscopic placement of self-expandable metal stent without fluoroscopic monitoring for acute colorectal obstruction

作　　者：黄雄[1] HUANG Xiong(Department of General Surgery,Shanghai Eighth People Hospital,Shanghai 200235,China)

机构地区：[1]上海市第八人民医院普外科,200235

出　　处：《临床外科杂志》2021年第1期42-44,共3页Journal of Clinical Surgery

摘　　要：目的探讨非透视下放置结肠金属支架治疗急性结肠梗阻病人的安全性和有效性。方法 2017年1月~2019年12月收治的急性结肠梗阻病人58例,均放置结肠金属支架,其中透视下操作30例,非透视下28例,比较两组操作时间,成功率和并发症的差异。结果透视组手术时间15~135分钟,平均(38±7.4)分钟,非透视组分别为20~75分钟,平均(34±5.1)分钟,两组比较差异无统计学意义(P>0.05)。透视组累积透视时间2~30分钟,平均(4.2±2.8)分钟。支架放置成功率100%,结肠梗阻症状均获缓解,无肠穿孔等手术并发症发生。结论非透视下放置结肠金属支架治疗急性结肠梗阻安全有效。Objective To evaluate the efficacy and safety of colonoscopic placement of self-expandable metal stent without fluoroscopic monitoring for acute colorectal obstruction.Methods The clinical data of 58 cases of acute colonic obstruction treated with metal stent in Shanghai Eighth People’s Hospital from January 2017 to December 2019 were analyzed retrospectively.30 cases were operated under fluoroscopy,28 cases were operated without fluoroscopic monitoring.The differences in operation time,success rate and complications between the two groups were analyzed.Results The operative time of fluoroscopy group was 15-135 minutes,with an average of(38±7.4) minutes,and that of non-fluoroscopy group was 20-75 minutes,with an average of(34±5.1) minutes,respectively.There was no significant difference between the two groups(P>0.05).The cumulative fluoroscopy time of fluoroscopy group was 2-30 minutes,with an average of(4.2±2.8) minutes.The success rate of stent placement was 100%,the symptoms of colonic obstruction were relieved,and there were no surgical complications such as intestinal perforation.Conclusion Colonoscopy guided placement of self-expandable metallic stents without fluoroscopic monitoring in emergence management for acute colorectal obstruction is effective and safe technique.

关 键 词：结肠梗阻 自膨胀金属支架 非透视 

分 类 号：R735.35[医药卫生—肿瘤]