摘要
目的观察探讨内镜联合X线下结直肠支架置入术治疗结直肠癌伴肠梗阻的方法及疗效。方法结直肠癌并肠梗阻、内镜放置支架失败患者8例,行内镜联合X线下结直肠支架置入术。结果 8例患者均一次性放置支架成功,成功率100%,2例术后发现有黏液血便,经静脉止血治疗后缓解;无1例出现肠穿孔等严重并发症;5例过渡性支架置入患者转入外科行Ⅰ期肠切除吻合术,术后无1例出现切口感染、吻合口瘘等并发症。结论内镜联合X线下结直肠支架置入治疗结直肠癌伴肠梗阻是一种安全、有效的治疗措施。
Objective To observe and discuss about the method and efficacy of treatment of colorectal cancer attached with intestinal obstruction by making use of endoscope and X-ray to insert colorectal stents. Methods There were 8 patients who suf-fered from colorectal cancer attached with intestinal obstruction and failed in endoscope-laid stent insertion,and thus operations were made by making use of endoscope and X-ray to insert colorectal stents. Results The stents were successfully inserted once for all of the 8 patients,with a success rate of 100%. Two patients were found after operation to have mucus and blood stool,but were relieved after venipuncture hemostasia;and neither of them was found to have intestinal perforation or other serious compli-cations. Five patients treated with transitional stent insertion were transferred to the surgical department for intestine resection ＆amp;anastomosis of Phase I,and no one was found after operation to have surgical site infection,anastomosis fistula or other complica-tions. Conclusion The treatment of colorectal cancer attached with intestinal obstruction by making use of endoscope and X-ray to insert colorectal stents is a safe and effective treatment measure.
出处
《江西医药》
CAS
2014年第1期16-18,共3页
Jiangxi Medical Journal
关键词
支架置入
结直肠癌
肠梗阻
Stent insertion
Colorectal cancer
Intestinal obstruction
