《中国期刊全文数据库》收录期刊
《中国核心期刊(遴选)数据库》收录期刊
《中文科技期刊数据库》收录期刊

外科研究与新技术 ›› 2023, Vol. 12 ›› Issue (1): 22-24.doi: 10.3969/j.issn.2095-378X.2023.01.006

• 论著 • 上一篇    下一篇

肠道支架置入在结直肠癌合并肠梗阻患者中的应用价值探讨

尹涛   

  1. 徐州中医院普通外科,江苏 徐州 221000
  • 收稿日期:2022-10-21 发布日期:2023-05-26
  • 作者简介:尹涛(1980—),男,硕士研究生,副主任医师,从事临床普通外科工作;电子信箱:attyin@163.com

Application value of intestinal stenting in patients with colorectal cancer complicated with intestinal obstruction

YIN Tao   

  1. Department of General Surgery, Xuzhou Hospital of Traditional Chinese Medicine, Xuzhou 221000, Jiangsu, China
  • Received:2022-10-21 Published:2023-05-26

摘要: 目的 探讨常规外科手术及支架置入术用于治疗结直肠癌合并肠梗阻的有效性和安全性。方法 选取2015年1月—2020年12月收治的60例结直肠癌合并肠梗阻患者作为研究对象,根据其术式分为对照组(n=30例,常规手术治疗)和观察组(n=30例,肠道支架置入术联合择期手术),对其临床资料进行回顾性分析。结果 观察组手术时间、术中出血量及住院时间均显著少于对照组(P<0.05),并发症发生率显著低于对照组(P<0.05),两组成功率比较差异不显著(P>0.05);经治疗两组患者SF-36量表各维度评分均得到显著提升(P<0.05),且治疗后观察组患者SF-36量表各维度评分均显著高于对照组(P<0.05)。结论 肠道支架置入用于治疗结直肠癌合并肠梗阻安全有效,患者并发症少,术后恢复快,值得临床借鉴推广。

关键词: 结直肠癌, 肠梗阻, 常规手术, 肠道支架, 生存质量

Abstract: Objective To investigate the efficacy and safety of conventional surgery and stent implantation in the treatment of colorectal cancer complicated with intestinal obstruction. Methods A total of 60 patients with colorectal cancer complicated with intestinal obstruction admitted to our hospital from January 2015 to December 2020 were selected as study subjects. According to their surgical methods, they were divided into the control group (n=30, conventional surgical treatment) and the observation group (n=30, intestinal stent implantation combined with elective surgery). A retrospective analysis of their clinical data was conducted. Results The operation time, intraoperative blood loss, and hospital stay in the observation group were significantly less than those in the control group (P<0.05), and the incidence of complications was significantly lower (P<0.05). There was no significant difference in the success rate between the two groups (P>0.05). After treatment, the scores of each dimension of SF-36 in the two groups were significantly improved (P<0.05), and the scores in the observation group were significantly higher than those in the control group (P<0.05). Conclusion Intestinal stenting is safe and effective in the treatment of colorectal cancer complicated with intestinal obstruction, with fewer complications and faster postoperative recovery, which is worthy of clinical reference and promotion.

Key words: Colorectal cancer, Intestinal obstruction, Routine surgery, Intestinal stent, Quality of life

中图分类号: