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DSA引导下内支架置入术治疗横结肠恶性梗阻 被引量:1

Metallic stents treatment for acute malignant obstruction of the transverse colon
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摘要 目的探讨在DSA引导下行内支架治疗横结肠恶性梗阻的临床应用价值。方法在DSA引导下,应用金属自膨式支架行内支架置入术治疗横结肠恶性梗阻患者。结果 2009年4月~2010年7月,共8例横结肠恶性梗阻患者行介入治疗,术中共放置9枚金属自膨式支架,手术成功率为100%,未出现与支架置入相关的严重并发症。随访时间为8~26个月(平均13.6个月),平均生存时间达6.2个月。结论 DSA引导下行内支架置入治疗横结肠恶性梗阻,手术成功率高,能够有效缓解患者的肠道梗阻,提高患者的生活质量,相关严重并发症少见,值得临床进一步推广应用。 Objective To discuss tile clinical efficacy of metallic stems treatment for acute malignant obstruction of the transverse colon. Methods Under DSA guidance stent implantation was performed in 8 patients with malignant transverse colonic obstruction. Results Nine stents were implanted in eight patients. The technical success rate was 100%. No complications ralated to stent irnplantion occurred. The average survival time in patients with malignant obstuction was 6.2 months. Conclusion For malignant obstruction of the transverse colon, stem implantation is a safe,ettictive treatment with few complications, can effectively relieve the imestinal obstmction symptoms, and improve their living quality,
出处 《当代医学》 2012年第6期81-82,共2页 Contemporary Medicine
关键词 金属支架 横结肠梗阻 介入治疗 Metal stem, Transverse colon obsructiong, Intervention
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参考文献11

  • 1PETO J.Cancer epidemiology in the last century and thenextdecade[J].Nature,2001,41l(6835):390-395.
  • 2Mainar A,De Gregorio Ariza MA,Tejero E,et al.Acute colo-rectalobstruction:treatment with self-expandable metallicstents before scheduledsurgery—Results of a muhicenterstudy[J].Radiology,1999;210(1);65.
  • 3Mulcahy HE,Skelly MM,Husain A,et al.Long-term outcomefollowing curative surgery for malignant large bowel obstruction[J].Br JSurg,1996,83(1):46-50.
  • 4Leong QM,Aung MO,Ho CK,et al.Emergency colorectalresections in Asian octogenarians:factors impacting surgical outcome[J].SurgToday,2009,39(7):575-579.
  • 5Cantarella F,Bugiantella W,Mingrone E,et al.Preliminaryexperience on the application of metallic stents for treatment of colorectalmalignant stenosis[J].Ann Ital Chir,2009 80(2):127-130.
  • 6Repici A,Adler DG,Gibbs CM,et al.Stenting of the proximalcolon in patients with malignant large bowel obstruction:techniques andoutcomes[J].Gastrointest Endosc,2007,66(5):940-944.
  • 7Dronamraju SS,Ramamurthy S,Kelly SB,et al.Role of self-expanding metal l ic stents in the management of mal ignant obstruction ofthe proximal colon[J].Dis Colon,2009,52(9):1657-1661.
  • 8Im JP,Kim SG,Kang HW,et al.Clinical outcomes andpatency of self-expanding metal stents in patients with malignant colorectalobstruction:a prospective single center study[J].Int J Colorectal,2008,23(8):789-794.
  • 9Shrivastava V,Tariq O,Tiam R,et al.Palliation of obstructingmalignant colonic lesions using self-expanding metal stents:a single-centerexperience[J].Cardiovasc Intervent,2008,31(5):931-936.
  • 10Repici A,De Caro G,Luigiano C,et al.WallFlex colonic stentplacement for management of malignant colonic obstruction:a prospectivestudy at two centers[J].Gastrointest Endosc,2008,67(1):77-84.

二级参考文献12

  • 1姚礼庆,钟芸诗,许剑民,周平红,王萍,王红美,徐美东.经肠镜导管减压术在急性低位结直肠梗阻中的应用[J].中华消化内镜杂志,2006,23(5):325-328. 被引量:21
  • 2Trompetas V. Emergency management of malignant acute left-sided colonic obstruction. Ann R Coll Surg Engl, 2008, 90:181-186.
  • 3Xu M,Zhong Y, Yao L,et al. Endoscopic decompression using a transanal drainage tube for acute obstruction of the rectum and left colon as a bridge to curative surgery. Colorectal Dis, 2009, 11:405-409.
  • 4Koch TR. Colon decompression-do we accomplish what we intend? Am J Gastroenterol,2000,95:2120-2121.
  • 5Breitenstein S, Rickenbacher A, Berdajs D,et al. Systematic evaluation of surgical strategies for acute malignant left-sided colonic obstruction. Br J Surg, 2007,94 : 1451-1460.
  • 6Khot UP, Wenk Lang A, Murali K, et al. Systematic review of the efficacy and safety of colorectal stents. Br J Surg,2002,89:1096- 1102.
  • 7Sebastian S, Johnston S, Geoghegan T, et al. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol,2004 ,99 :2051-2057.
  • 8Watt AM, Faragher IG, Griffin TT, et al. Self-expanding metallic stents for relieving malignant colorectal obstruction : a systematic review. Ann Surg,2007,246:24-30.
  • 9Tilney HS, Lovegrove RE, Purkayastha. S, et al. Comparison of colonic stenting and open surgery for malignant large bowel obstruction. Surg Endosc ,2007,21:225-233.
  • 10Law WL, Choi HK, Chu KW. Comparison of stenting with emergency surgery as palliative treatment for obstructing primary left- sided colorectal cancer. Br J Surg,2003,90 : 1429-1433.

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