自膨胀金属支架桥接外科手术在梗阻性结直肠癌中的安全性研究进展  

Research progress on safety of self-expanding metal stent as a bridge to surgery in obstructive colorectal cancer

作　　者：胡阳 陶庆松[1,2] 嵇振岭[1,2] HU Yang;TAO Qingsong;JI Zhenling(School of Clinical Medicine,School of Medicine,Southeast University,Nanjing,Jiangsu 210009,P.R.China;Department of General Surgery,Zhongda Hospital Affiliated to Southeast University,Nanjing,Jiangsu 210009,P.R.China)

机构地区：[1]东南大学医学院临床医学系,南京210009 [2]东南大学附属中大医院普通外科,南京210009

出　　处：《华西医学》2022年第11期1735-1741,共7页West China Medical Journal

摘　　要：传统急诊手术治疗急性梗阻性结直肠癌的并发症发生率和病死率都很高,自膨胀金属支架(selfexpanding metal stent,SEMS)桥接外科手术可以迅速进行肠道减压,并在患者一般情况好转后施行根治性手术,目前该项技术已广泛开展,但其安全性仍存争议,主要为SEMS置入的相关风险及其对患者长期生存的影响。该文将通过介绍SEMS的基本原理、病理生理、SEMS置入短期安全性及其长期肿瘤学安全性,以期为临床医生治疗方式的选择提供依据。The complication rate and mortality rate of traditional emergency surgery for acute obstructive colorectal cancer are very high.Self-expanding metal stent(SEMS)as a bridge to surgery can rapidly decompress the intestinal tract and radical surgery can be performed after the patients’general condition improve.This technology has been widely developed,but its safety is still controversial,mainly related to the risk of SEMS implantation and its impact on the long-term survival of patients.This article will introduce the rationale,pathophysiology,short-term safety and long-term oncology safety of SEMS implantation,in order to provide basis for clinicians to choose treatment methods.

关 键 词：自膨胀金属支架 桥接外科手术 结直肠癌 急性肠梗阻 

分 类 号：R735.34[医药卫生—肿瘤]