摘要
目的探讨自膨式金属支架在右半结肠癌伴梗阻减压治疗中的有效性和安全性及操作技巧。方法收集2009年1月-2013年12月收治的32例右半结肠癌伴梗阻进行肠道支架置入术患者资料,分析患者支架置入成功率和畅通率、术后胃肠功能恢复及并发症发生情况,并与同期收治的55例左半结肠癌伴梗阻行金属支架置入减压治疗术患者进行比较。结果 32例右半结肠癌伴梗阻患者中,25例成功放置金属支架并保持支架通畅;左半结肠癌伴梗阻55例中52例成功放置金属支架,其中3例不能解除梗阻、3例1周内出现再梗阻。右半结肠组支架置入成功率低于左半结肠组(P<0.05),右半结肠组并发症低于左半结肠组(P<0.05)。结论右半结肠癌伴梗阻金属支架置入操作难度大于左半结肠,置入成功后具有良好的临床缓解率及较少的并发症。
Objective To discuss the clinical value of self-expandable metal stent endoprosthesis in malignant proximal colon obstruction.Methods From January 2009 to December 2013,32 patients of malignant proximal colon obstruction and 55 patients of distal colon obstruction were treated with self-expandable metal stent endoprosthesis.Technical success,clinical improvements,complications were compared between two groups.Results 25 cases of malignant proximal colon obstruction and 52 cases of distal colon obstructions were successfully inserted metal stent.The technical success rate in two groups was 78.1% and 94.5 % respectively.The technical success rate in proximal colon obstructions group was lower than that in distal colon obstructions group （P〈0.05）.Clinical improvement in two groups was 100% and 94.2% respectively.There was no significant differences between two groups（P〉0.05）.Complications in proximal colon obstructions group was lower than that in distal colon obstructions group （P〈0.05）.Conclusions Self-expandable metal stent endoprosthesis is more difficult in malignant proximal colon obstruction.The placement of self-expandable metal stent is a safe,effective and well tolerated treatment for patients with malignant proximal colon obstruction.
出处
《福建医科大学学报》
2014年第2期121-124,共4页
Journal of Fujian Medical University
基金
福建省临床重点专科建设项目
关键词
肠梗阻
结肠
结肠肿瘤
金属
支架
内窥镜检查
浮华系统
intestinal obstruction
colon
colonic neoplasms
metals
stents
endoscopy, digestive system
