中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
11期
1190-1191
,共2页
陈安良%何永健%王铁汉%刘庆顺
陳安良%何永健%王鐵漢%劉慶順
진안량%하영건%왕철한%류경순
结直肠肿瘤%肠梗阻%支架%内镜%X线
結直腸腫瘤%腸梗阻%支架%內鏡%X線
결직장종류%장경조%지가%내경%X선
Colorectal cancer%Intestinal obstruction%Stent%Endoscope%X-ray
目的 探讨支架在结直肠恶性梗阻治疗中的应用价值.方法 对我院2007年5月至2013年6月收治的28例结直肠恶性梗阻患者采用内镜联合X线下临时性或姑息性支架治疗,观察肠梗阻缓解情况和并发症.结果 28例患者接受支架治疗,仅1例失败.21例经内镜治疗解除梗阻后7~10 d行肿瘤一期切除,术后恢复顺利,支架放置后未发生支架移位及结肠穿孔.结论 经内镜放置支架治疗结直肠恶性梗阻是一种临时过渡性或姑息性治疗手段,避免了结肠造瘘术,提高了生活质量,安全可靠,值得推广应用.
目的 探討支架在結直腸噁性梗阻治療中的應用價值.方法 對我院2007年5月至2013年6月收治的28例結直腸噁性梗阻患者採用內鏡聯閤X線下臨時性或姑息性支架治療,觀察腸梗阻緩解情況和併髮癥.結果 28例患者接受支架治療,僅1例失敗.21例經內鏡治療解除梗阻後7~10 d行腫瘤一期切除,術後恢複順利,支架放置後未髮生支架移位及結腸穿孔.結論 經內鏡放置支架治療結直腸噁性梗阻是一種臨時過渡性或姑息性治療手段,避免瞭結腸造瘺術,提高瞭生活質量,安全可靠,值得推廣應用.
목적 탐토지가재결직장악성경조치료중적응용개치.방법 대아원2007년5월지2013년6월수치적28례결직장악성경조환자채용내경연합X선하림시성혹고식성지가치료,관찰장경조완해정황화병발증.결과 28례환자접수지가치료,부1례실패.21례경내경치료해제경조후7~10 d행종류일기절제,술후회복순리,지가방치후미발생지가이위급결장천공.결론 경내경방치지가치료결직장악성경조시일충림시과도성혹고식성치료수단,피면료결장조루술,제고료생활질량,안전가고,치득추엄응용.
Objective To investigate the value of application of stent in the treatment of colorectal malignant obstruction.Methods A total of 28 cases with colorectal malignant obstruction were treated with stents in endoscopic joint X line temporarily or palliatively in the Yanhua Hospital of Beijing from May 2007 to June 2013.Intestinal obstruction ease conditions and complications were observed.Results Twenty-eight cases received with stent,and only 1 case failed.Twenty-one patients,who showed the relief of obstructive symptoms,were performed one-stage operation after 7 to 10 d.The patients recovered very well without stents shifting and intestinal perforation.Conclusion The stent treatment by endoscopic on colorectal malignant obstruction is a temporary or palliative treatment which can avoid the colostomy and improve the quality of life.It is a safe and reliable method which is worthy to be popularized.