超细内镜引导与X线透视肠道支架置入术在左半结直肠癌性梗阻中的疗效对照  

Effect of colonic stenting under guidance of ultra-fine endoscopy versus X-ray fluoroscopy in treatment of left colorectal malignant obstruction: a comparative study

作　　者：张龙 曾山崎[2] 英嵩崧[2] 聂玉强[2] Zhang Long;Zeng Shanqi;Ying Songsong;Nie Yuqiang(Endoscopy Center,Affiliated Cancer Hospital and Institute of Guangzhou Medical University,Guangzhou,Guangdong 510095,China;Department of Gastroenterology,Guangzhou First Municipal People’s Hospital,Guangzhou,Guangdong 510180,China)

机构地区：[1]广州医科大学附属肿瘤医院内窥镜中心,510095 [2]广州市第一人民医院消化疾病中心,510180

出　　处：《中华生物医学工程杂志》2021年第4期386-390,共5页Chinese Journal of Biomedical Engineering

摘　　要：目的探讨超细内镜引导与X线透视肠道支架置入术在治疗左半结直肠癌性梗阻中的安全性及有效性。方法回顾性分析2014年2月至2019年7月在广州市第一人民医院消化科住院的左半结直肠癌性梗阻患者106例,按操作方法分为超细内镜组58例,X线辅助组48例,比较两组技术成功率、临床缓解率、桥接手术率、术后并发症和住院时间等指标。结果超细内镜组支架成功置入率98.3%(57/58)、临床缓解率96.6%(56/58)、术后并发症率10.3%(6/58),而X线辅助组支架成功置入率100%例(48/48)、临床缓解率95.8%(46/48)、术后并发症率16.7%(8/48),P>0.05;但超细内镜组无需配备放射人员及C臂放射机。结论超细内镜引导与X线透视肠道支架置入术均能安全有效缓解左半结直肠癌性梗阻,但超细内镜引导法具有无X线辐射优点。Objective To investigate the safety and efficacy of colonic stenting under the guidance of ultra-fine endoscopy versus X-ray fluoroscopy in the treatment of left colorectal malignant obstruction.Methods The clinical data of 106 patients with left colorectal malignant obstruction admitted to Guangzhou First Municipal People’s Hospital between February 2014 and July 2019 were analyzed retrospectively.According to the operation methods,all patients were divided into the ultra-fine endoscopy group(n=58)and X-ray assistance group(n=48),respectively.The indicators including stenting success rate,clinical remission rate,bridging operation rate,incidence of postoperative complications and length of hospital stay in the two groups were compared.Results The stenting success rate,clinical remission rate and incidence of postoperative complications in the ultra-fine endoscopy group and X-ray fluoroscopy group were 98.3%(57/58)vs 100%(48/48),96.6%(56/58)vs 95.8%(46/48)and 10.3%(6/58)vs 16.7%(8/48),respectively(all P>0.05).However,the ultra-fine endoscopy group did not require radiologists and C-arm X-ray machine.Conclusion Colonic stenting under guidance of ultra-fine endoscopy and X-ray fluoroscopy could both relieve left colorectal malignant obstruction safely and effectively.The ultra-fine endoscopic guidance shows the advantage of no X-ray radiation.

关 键 词：结直肠癌 肠梗阻 金属支架 超细内镜 X线辅助 

分 类 号：R735.34[医药卫生—肿瘤]