摘要
目的分析晚期结直肠癌合并急性肠梗阻(AIO)应用支架置入术的疗效。方法选择2015年10月-2018年10月平煤神马医疗集团总医院收治的晚期结直肠癌合并AIO患者50例作为研究对象,以随机数表法分为观察组与对照组,每组25例。对照组予以急诊手术治疗,观察组予以支架置入术治疗。记录手术时间、术中出血量、住院时间、并发症情况,并调查中位生存期,比较分析。结果两组手术时间、并发症发生率及中位生存期比较无显著差异(P>0.05);观察组术中出血量显著低于对照组(P<0.05),住院时间显著短于对照组(P<0.05)。结论晚期结直肠癌合并AIO应用支架置入术治疗,相比急诊手术方案治疗,尽管手术时间、并发症及中位生存期相当,但支架置入术可减少手术出血量,缩短住院时间,值得应用。
Objective To analyze the effect of stent implantation in advanced colorectal cancer complicated with acute intestinal obstruction (AIO). Methods 50 patients with advanced colorectal cancer complicated with AIO admitted to Pingmei Shenma Medical Group General Hospital from October 2015 to October 2018 were selected as the research object and divided into observation group and control group by random number table method, with 25 cases in each group. The control group was treated with emergency surgery, while the observation group was treated with stent implantation. The operation time, intraoperative blood loss, hospitalization time, complications and median survival time were compared between the two groups. Results There was no significant difference in operation time, complication rate and median survival time between the two groups (P > 0.05). The intraoperative blood loss in the observation group was significantly lower than that in the control group (P < 0.05), and the hospitalization time was significantly shorter than that in the control group (P < 0.05). Conclusion Compared with emergency surgery, stenting for advanced colorectal cancer complicated with AIO can reduce the amount of surgical bleeding and shorten the hospitalization time, although the operation time, complications and median survival time are equivalent.
作者
史金伟
Shi Jinwei(Pingmei Shenma Medical Group General Hospital, district 2 of general surgery, Pingdingshan Henan 467000,China)
出处
《临床研究》
2019年第8期37-39,共3页
Clinical Research
关键词
晚期结直肠癌
急性肠梗阻
支架置入术
急诊手术
疗效
advanced colorectal cancer
acute intestinal obstruction
stent implantation
emergency surgery
curative effect
