CAJ | 학술논문

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。
목적：관찰탐토내경연합X선하결직장지가치입술치료결직장암반장경조적방법급료효。방법결직장암병장경조、내경방치지가실패환자8례，행내경연합X선하결직장지가치입술。결과8례환자균일차성방치지가성공，성공솔100%，2례술후발현유점액혈편，경정맥지혈치료후완해；무1례출현장천공등엄중병발증；5례과도성지가치입환자전입외과행Ⅰ기장절제문합술，술후무1례출현절구감염、문합구루등병발증。결론내경연합X선하결직장지가치입치료결직장암반장경조시일충안전、유효적치료조시。
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 &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.