支架联合腹腔镜手术治疗结直肠癌伴肠梗阻的临床疗效  

Clinical efficacy of stent combined with laparoscopic surgery in the treatment of colorectal cancer complicated with intestinal obstruction

作　　者：陈占峰[1] CHEN Zhan-feng(Rizhao People’s Hospital,Rizhao 276800,China)

机构地区：[1]日照市人民医院,276800

出　　处：《中国实用医药》2021年第26期35-38,共4页China Practical Medicine

摘　　要：目的研究支架联合腹腔镜手术治疗结直肠癌伴肠梗阻的临床疗效。方法76例结直肠癌伴肠梗阻患者,随机分为对照组和观察组,每组38例。对照组患者采用腹腔镜手术治疗,观察组患者在对照组基础上联合支架进行治疗。对比两组患者手术时间、术中出血量以及住院时间、并发症发生情况、预后效果。结果观察组手术时间(253.64±49.37)min明显长于对照组的(211.64±50.33)min,住院时间(11.03±3.21)d短于对照组的(13.94±4.08)d,术中出血量(240.36±82.36)ml明显少于对照组的(293.41±82.31)ml,差异具有统计学意义(P<0.05)。观察组并发症总发生率5.26%明显低于对照组的21.05%,差异具有统计学意义(χ^(2)=4.145,P=0.042<0.05)。治疗后随访12个月,观察组患者中36例术后均无复发与转移情况,2例死亡;对照组患者均无复发以及远处转移情况,但3例死亡;两组死亡情况比较差异无统计学意义(P>0.05)。结论采用支架联合腹腔镜手术治疗结直肠癌伴肠梗阻患者的效果更好,虽然手术时间相对偏长,但其手术安全性更高,并发症风险小,术后恢复快,且预后更为良好,值得临床推广。Objective To study the clinical efficacy of stent combined with laparoscopic surgery in the treatment of colorectal cancer complicated with intestinal obstruction.Methods A total of 76 cases of colorectal cancer complicated with intestinal obstruction were randomly divided into a control group and an observation group,with 38 cases in each group.The control group was treated with laparoscopic surgery,and the observation group was treated with stent on the basis of the control group.The operation time,intraoperative blood loss,hospitalization time,complications,and prognosis of the two groups were compared.Results The operation time(253.64±49.37)min of the observation group was significantly longer than(211.64±50.33)min of the control group,the hospitalization time(11.03±3.21)d was shorter than(13.94±4.08)d of the control group,and the intraoperative blood loss(240.36±82.36)ml was significantly less than(293.41±82.31)ml of the control group.All the difference was statistically significant(P<0.05).The total complication rate in the observation group was 5.26%,which was significantly lower than 21.05%in the control group,and the difference was statistically significant(χ^(2)=4.145,P=0.042<0.05).Follow-up for 12 months after treatment,36 patients in the observation group had no recurrence or metastasis after operation,and 2 cases died;no patients in the control group had recurrence or distant metastasis,but 3 cases died.There was no statistically significant difference in mortality between the two groups(P>0.05).Conclusion Combination of stent and laparoscopic surgery has better effect on patients with colorectal cancer and intestinal obstruction.Although the operation time is relatively long,it has higher safety,lower risk of complications,faster postoperative recovery and better prognosis,which is worthy of clinical promotion.

关 键 词：支架 腹腔镜手术 结直肠癌 肠梗阻 

分 类 号：R735.34[医药卫生—肿瘤]