CAJ | 학술논문

目的：对左半结肠癌梗阻性患者应用急诊手术及肠道支架序贯手术进行治疗的临床效果进行分析。方法选取70例梗阻型左半结肠癌患者，分为急诊手术治疗组（A组33例）以及肠道支架序贯手术治疗组（B组37例），比较两组患者的术后梗阻缓解情况、并发症以及术后不同时间点累计生存率情况。结果两组患者治疗后的狭窄段直径均较治疗前有明显改善，且肠道支架序贯手术治疗组优于急诊手术治疗组，差异有统计学意义（P<0.05）；肠道支架序贯手术治疗组患者的术后不同时间累计生存率以及平均生存期虽高于急诊手术治疗组，但差异无统计学意义（P>0.05）；急诊手术治疗组患者的并发症发生率虽高于肠道支架序贯手术治疗组，但差异无统计学意义（P>0.05）。结论肠道支架序贯手术是一种简单可行，安全有效而且并发症较少的临时性或者永久姑息性治疗手段，相比于急诊手术治疗，可以提高患者的生存质量，且平均生存时间相当，值得临床应用和推广。
목적：대좌반결장암경조성환자응용급진수술급장도지가서관수술진행치료적림상효과진행분석。방법선취70례경조형좌반결장암환자，분위급진수술치료조（A조33례）이급장도지가서관수술치료조（B조37례），비교량조환자적술후경조완해정황、병발증이급술후불동시간점루계생존솔정황。결과량조환자치료후적협착단직경균교치료전유명현개선，차장도지가서관수술치료조우우급진수술치료조，차이유통계학의의（P<0.05）；장도지가서관수술치료조환자적술후불동시간루계생존솔이급평균생존기수고우급진수술치료조，단차이무통계학의의（P>0.05）；급진수술치료조환자적병발증발생솔수고우장도지가서관수술치료조，단차이무통계학의의（P>0.05）。결론장도지가서관수술시일충간단가행，안전유효이차병발증교소적림시성혹자영구고식성치료수단，상비우급진수술치료，가이제고환자적생존질량，차평균생존시간상당，치득림상응용화추엄。
Objective Application of emergency surgery in patients with obstructive left half colon cancer and intestinal stents sequential operation to study and analyze the clinical effect of treatment.MethodsChoose the patient between December 2011 and February 2011,stay in our hospital during the period of a total of 70 patients with left half colon cancer obstruction type as the research object,and in accordance with the operation of different operated patients divided into treatment group(33 cases)and intestinal stents sequential surgery treatment group(37 cases),comparison of two groups of patients with postoperative obstruction to alleviate different time points total,complications and postoperative survival rate.ResultsTwo groups after treatment in patients with narrow section diameter were obviously improved compared with before treatment,and the intestinal stents sequential surgery treatment group is better than that of emergency operation in the treatment group,the difference was statistically significant(P<0.05); The intestinal stents sequential surgery group of patients with postoperative different cumulative survival rate and the average survival time is higher than that of emergency operation in the treatment group,but there was no statistically significant difference(P st13 0.05);Emergency operation in the treatment group patients with complication rates are higher than that of intestinal stents sequential surgery treatment group,but there was no significant difference(P st13 0.05).Conclusionthe intestinal stents sequential operation is a simple and feasible,safe,effective and less complications of temporary or permanent palliative treatment,relative to emergency operation,can improve the quality of the patients,and the average survival time,worthy of clinical application and promotion.