摘要
为探讨经肛放置自制减压管在直肠癌合并急性肠梗阻患者中的应用效果，对13例直肠癌合并急性肠梗阻患者在肛门镜或乙状结肠镜辅助下经肛插入自制减压管，使减压管穿过肿瘤梗阻肠段。结果显示，13例患者均成功置人减压管，其中¨例肠梗阻症状得到解除，患者全身情况好转后，限期内行根治手术。插管过程中无肠穿孔、腹痛等并发症。另2例患者因粪石嵌顿致肠梗阻，减压效果不明显。结果表明，经肛置入自制减压管可以帮助解除直肠癌合并急性肠梗阻患者的梗阻症状，将急诊手术变为限期手术，提高手术治疗效果，减少手术并发症。
This study was to investigate the appilable effect of self-made transanal decompression tube in the patients with acute obstructing rectal carcinoma. The 13 patients with above diseases received this tube assisted by anoscope or sigmoidoscope, which passed through the obstructed intestinal segment by neo plasms. As results,the decompression tube was successfully placed in the 13 patients,among them obstruc- tion symptoms were relieved in 11 cases,then after the systemic condition of patients became better, per- forming radical operation on them limited to deadline;at periqntubation no perforation of intestine,and ab- domen pain, etc were found;rest two patients did not obtain significant efficacy due to fecalith incarceration obstruction. Results show that placing self-made transanal decompression tube could be helping to reduce obstructive symptoms of the patients with acute obstructing rectal carcinoma, so that making emergency operation becoming deadline operation,thus operative efficacy can be enhanced, and operative complication reduced.
出处
《中国肛肠病杂志》
2012年第12期26-27,共2页
Chinese Journal of Coloproctology
关键词
急性肠梗阻
直肠癌
自制经肛减压管
Acute intestinal obstruction
Rectal carcinoma
Self-made transanal decompression tube
