CAJ | 학술논문

目的评价经肛门肠梗阻导管在老年急性低位结直肠癌性梗阻治疗中的应用价值.方法应用经肛门肠梗阻导管治疗结直肠癌引起的急性低位肠梗阻的老年患者31例.观察患者症状缓解情况、腹围、腹部平片等变化,急性梗阻缓解后,完善术前准备限期手术. 结果置管减压后,患者急性梗阻症状均有所缓解,后接受限期手术.一期切除根治率93.5％(29/31),一期切除吻合率68.9％(20/31),并发症发生率19.4％(6/31),无围术期死亡.行一期切除吻合患者均未发生吻合口瘘. 结论经肛门肠梗阻导管用于缓解老年急性低位结直肠癌性梗阻安全、有效、创伤小.有望成为非手术解除急性低位癌性梗阻的首选措施.
목적 평개경항문장경조도관재노년급성저위결직장암성경조치료중적응용개치.방법 응용경항문장경조도관치료결직장암인기적급성저위장경조적노년환자31례.관찰환자증상완해정황、복위、복부평편등변화,급성경조완해후,완선술전준비한기수술. 결과 치관감압후,환자급성경조증상균유소완해,후접수한기수술.일기절제근치솔93.5％(29/31),일기절제문합솔68.9％(20/31),병발증발생솔19.4％(6/31),무위술기사망.행일기절제문합환자균미발생문합구루. 결론 경항문장경조도관용우완해노년급성저위결직장암성경조안전、유효、창상소.유망성위비수술해제급성저위암성경조적수선조시.
Objective To evaluate the role of via-anal ileus tube drainage in the therapy of acute low colorectal obstruction caused by cancer in elderly patients.Methods Totally 31 elderly patients with acute obstruction caused by colorectal cancer were treated by this modality.With the help of colonscopy and radiograph,the ileus tube was inserted into the proximal bowel of the obstructive side via anus.Then we irrigated and drain through the tube.At the same time we observed the patients' symptoms,abdominal girth,plain abdominal radiograph.After the relief of the acute obstruction,operations were processed.Results After 7-14 days treatment,the acute obstruction was relieved and emergency operation was avoided.The cure rate of 1-staged resection was 93.5％ (29/31),the rate of 1-staged anastomosis was 68.9％ (20/29),the rate of complication was 19.4％ (6/31),no anastomotic leakage and no perioperative death occurred.Conclusions The via-anal tube drainage in the treatment of the elderly patients with acute obstruction is safe,effective,and the trauma is small.It would be the first choice to relieve the acute obstruction in future.