经肛肠梗阻减压导管技术在老年梗阻性结直肠癌中的应用效果  

Application Effect of Transanorectal Intestinal Obstruction Decompression Catheter Technology in Elderly Patients with Obstructive Colorectal Cancer

作　　者：张锡山 罗安庆 庞利群[2] 徐法贞 ZHANG Xishan;LUO Anqing;PANG Liqun;XU Fazhen(Lianshui County People's Hospital,Lianshui 223400,China;不详)

机构地区：[1]涟水县人民医院,江苏涟水223400 [2]淮安市第一人民医院

出　　处：《中外医学研究》2023年第8期98-101,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究经肛肠梗阻减压导管技术在老年梗阻性结直肠癌中的应用效果。方法:回顾性分析2018年1月—2021年1月涟水县人民医院收治的68例老年梗阻性结直肠癌患者的临床资料,根据是否采用经肛肠梗阻减压导管技术将其分为试验组和对照组,各34例。对照组行急诊腹腔镜结直肠癌一期根治性肿瘤切除术,试验组则首先采用经肛肠梗阻减压导管技术治疗,而后采用腹腔镜结直肠癌一期根治性肿瘤切除术。比较两组腹腔镜结直肠癌一期根治性肿瘤切除术占比,围手术期指标,并发症,术前及术后3个月生活质量。结果:试验组的腹腔镜结直肠癌一期根治性肿瘤切除术占比高于对照组,差异有统计学意义(P<0.05)。试验组的术后排气时间早于对照组,总住院时间长于对照组,淋巴结清扫数量多于对照组,差异有统计学意义(P<0.05)。试验组切口感染、下肢水肿、低钠、低钾、低蛋白血症、吻合口瘘发生率均低于对照组,差异有统计学意义(P<0.05)。术后3个月,试验组功能、症状评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论:经肛肠梗阻减压导管技术可提高患者淋巴结清扫数量,促使患者术后快速排气,改善患者术后生活质量,安全性得到有效提升。Objective:To study the application effect of transanorectal intestinal obstruction decompression catheter technology in elderly patients with obstructive colorectal cancer.Method:The clinical data of 68 elderly patients with obstructive colorectal cancer admitted to Lianshui County People's Hospital from January 2018 to January 2021 were analyzed retrospectively.They were divided into experimental group and control group according to whether the transanorectal intestinal obstruction decompression catheter technology was used or not,with 34 cases in each group.The control group underwent emergency laparoscopic one-stage radical resection of colorectal cancer,while the experimental group was first treated with transanorectal intestinal obstruction decompression catheter technology,and then laparoscopic one-stage radical resection of colorectal cancer.The proportion of laparoscopic one-stage radical resection of colorectal cancer,perioperative indicators,complications,and quality of life before and 3 months after surgery were compared between the two groups.Result:The proportion of laparoscopic one-stage radical resection of colorectal cancer in the experimental group was higher than that in the control group,and the difference was statistically significant(x^(2)=46.278,P<0.05).The postoperative exhaust time of the experimental group was earlier than that of the control group,the total length of hospital stay was longer than that of the control group,and the number of lymph node dissection was more than that of the control group,and the differences were statistically significant(P<0.05).The incidences of incision infection,lower limb edema,hyponatremia,hypokalemia,hypoproteinemia and anastomotic fistula in the experimental group were lower than those in the control group,and the differences were statistically significant(P<0.05).At 3 months after surgery,the function,symptom scores and total scores of the experimental group were higher than those of the control group,and the differences were statistically significan

关 键 词：梗阻性结直肠癌 老年 腹腔镜 肠梗阻导管 效果 安全性 

分 类 号：R735.34[医药卫生—肿瘤]