CAJ | 학술논문

目的探讨肛门肠梗阻导管在急性梗阻性结直肠癌中应用效果。方法选取2011年5月～2013年5月期间入住我院，接受治疗的结直肠癌患者200例，将其随机分为对照组与治疗组两组。对照组采用传统治疗方法，治疗组采用肛门肠梗阻导管治疗方法。观察并记录下两组患者治疗成功率、患者满意度、住院总用时以及治疗费用，并进行比较。结果100例对照组患者中81例成功，成功率为81%，72例患者对手术过程以及结果表示满意，满意率为72%，住院总用时32～37 d，平均治疗费用11.4万元；100例治疗组患者中98例成功，成功率98%，96例患者对手术过程以及结果表示满意，满意率为96%。治疗组无论是手术成功率、患者满意度、住院用时，还是治疗费用方面均显著优于对照组，差异有统计学意义（ P＜0.05）。结论肛门肠梗阻导管在急性梗阻性结直肠癌中应用的成功率高，患者的满意度也随之增高，同传统治疗方法相比大大缩短了患者的康复时间，并降低了治疗费用，值得临床推广。
목적탐토항문장경조도관재급성경조성결직장암중응용효과。방법선취2011년5월～2013년5월기간입주아원，접수치료적결직장암환자200례，장기수궤분위대조조여치료조량조。대조조채용전통치료방법，치료조채용항문장경조도관치료방법。관찰병기록하량조환자치료성공솔、환자만의도、주원총용시이급치료비용，병진행비교。결과100례대조조환자중81례성공，성공솔위81%，72례환자대수술과정이급결과표시만의，만의솔위72%，주원총용시32～37 d，평균치료비용11.4만원；100례치료조환자중98례성공，성공솔98%，96례환자대수술과정이급결과표시만의，만의솔위96%。치료조무론시수술성공솔、환자만의도、주원용시，환시치료비용방면균현저우우대조조，차이유통계학의의（ P＜0.05）。결론항문장경조도관재급성경조성결직장암중응용적성공솔고，환자적만의도야수지증고，동전통치료방법상비대대축단료환자적강복시간，병강저료치료비용，치득림상추엄。
Objective To study and explore the application of anal catheter obstruction in the treatment of acute obstructive colorectal cancer. Methods 200 patients with colorectal cancer were selected from May 2011 to May 2013 in our hospital,and randomly divided into two groups evenly,the control group and the treatment group. Control group was given traditional treatment method,and the treatment group was given anal duct obstruction treatment.The treatment success rates, patients`satisfaction,length of hospital stay and costs of treatment were observed carefully and kept detailed records, and compared between the two groups. Results 81 cases of patients in the control group(100 cases),were successful,with the success rate of 81%, 72 patients were satisfied with the operation process and results, with the satisfaction rate of 72%, the length of hospital stay were 32-37 days,the average costs of treatment were 114,000 yuan; 98 cases of patients in the treatment group(100 cases)were successful, with the success rate of 98%,96 patients were satisfied with the operation process and results,with the satisfaction rate of 96%.The success rate of surgery, patients's atisfaction,length of hospital stay and costs of treatment were significantly better than those in the control group (P < 0.05). Conclusion The success rate is high,with the application of anal catheter obstruction in the treatment of acute obstructive colorectal cancer.The patients'satisfaction is also increased. Compared with the traditional treatment,it greatly reduces the patients' recovery time and the costs of treatment,it is worth promotion in the relevant clinic.