摘要
随着饮食结构和生活方式的不断改变,结直肠癌的发病率及死亡率逐年上升,且有年轻化的趋势。大部分结直肠癌发现时已属中晚期,如伴发肠梗阻,往往需要急诊手术治疗,处理较为棘手。目前对于梗阻性左半结肠癌的处理方式众多,在治疗策略选择上仍存在很大争议,而自膨胀金属支架、经肛引流管等“非手术”手段及桥接-新辅助综合治疗理念逐渐成为研究的焦点。本文就目前最新的治疗研究进展进行综述,希望为其临床诊治提供一定的参考。
With the continuous changes in diet and lifestyle,the incidence and mortality of colorectal cancer(CRC)are increasing year by year,especially among younger people.Most colorectal cancer is found in the middle and late stages,such as intestinal obstruction,often needing emergency surgical treatment,but the man-agement is more difficult.At present,there are many managing methods for obstructive left colon cancer,and great controversies still exist concerning the selection of treatment strategies.However,"non-surgical"means such as self-expanding metal stent and transanal drainage tube and the concept of bridge-neoadjuvant compre-hensive treatment have gradually become a focus of research.This article reviewed the latest research prog-ress in treatment,hoping to provide some reference for clinical diagnosis and treatment.
作者
毛尔东
周霞东
郭楠
梁佳
张发展
任维维
吕佰荣
张昭
何明彦
MAO Erdong;ZHOU Xiadong;GUO Nan;LIANG Jia;ZHANG Fazhan;REN Weiwei;LYU Bairong;ZHANG Zhao;HE Mingyan(Department of Colorectal Surgery,Sun Yat-sen University Cancer Center Gansu Hospital(Gansu Provincial Cancer Hospital),Lanzhou 730050,China)
出处
《兰州大学学报(医学版)》
2025年第8期76-82,共7页
Journal of Lanzhou University(Medical Sciences)
基金
甘肃省卫生健康行业科研计划资助项目(GSWSKY2021-071)。
关键词
左半结肠癌
肠梗阻
新辅助化疗
自膨胀金属支架
经肛引流管
left half colon cancer
intestinal obstruction
neoadjuvant chemotherapy
self-expanding metallic stents
transanal drainage tube
