结肠直肠恶性梗阻的内支架治疗  

INNER-STENT TREATMENT FOR MALIGNANT COLORECTAL OBSTRUCTION

作　　者：尚培中[1] 刘景章[1] 卢育奇[1] 陈玉梅[1] 王铁山[1] 

机构地区：[1]解放军第251医院

出　　处：《解放军医学杂志》2002年第11期1021-1022,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：为探讨记忆合金支架治疗结、直肠恶性梗阻的疗效及意义 ,对 4 4例结、直肠恶性狭窄导致的急慢性梗阻患者实施了支架置入术。 4 1例患者成功置入 ,有效地恢复了肠腔通畅。长期带支架的 38例患者中现已死亡 33例 ,生存期 5 1～72 0天 ,其他 5例已存活 1～8个月 ,未再发肠梗阻。研究表明 ,记忆合金支架可有效地缓解结、直肠恶性狭窄导致的急慢性梗阻 ,对晚期结、直肠癌以及具有高危手术因素的患者进行永久性姑息治疗 ,避免了肠造口 ,配合化疗和免疫治疗 ,有利于延长患者生存期 ;同时可缓解急性梗阻 ,为肠道准备和择期手术创造条件 。To evaluate initial experience with shape memory alloy stent as an alterative to colostomy in patients with intestinal obstruction by colorectal cancer, forty four patients diagnosed with acute and chronic colorectal obstructions from malignant causes were subjected to stent placement. Among them 41 patients achieved clinical decompression. Thirty three cases died within 51～720 days and the other 5 cases were still alive without intestinal obstruction for 1～8 months. Our conclusions are shape memory alloy stent may be useful in the management of terminal or high risk surgical patients for palliative purposes instead of colostomy. Palliative management by stent placement combined with chemotherapy and immunotherapy might prolong the survival time of these patients. Placement of stent for acute colorectal bowel obstructions facilitates preoperative bowel preparation for surgical resection and obviates the need for fecal diversion or on table lavage.

关 键 词：形状记忆合金 螺旋管状支架 直肠肿瘤 肠梗阻 姑息疗法 结肠肿瘤 支架植入术 网管状支架 

分 类 号：R735.35[医药卫生—肿瘤] R735[医药卫生—临床医学]