肠道支架植入术在结直肠癌并发肠梗阻患者中的应用

Application of Intestinal Stent Implantation in Patients with Colorectal Cancer Complicated by Intestinal Obstruction

目的分析肠道支架植入术在结直肠癌并发肠梗阻患者中的应用效果。方法选取2022年1月-2022年12月本院收治的结直肠癌并发肠梗阻患者94例,应用随机抽样法将其随机编号1~94,分为对照组和观察组,分别纳入奇数编号、偶数编号患者各47例。对照组患者采用肠梗阻导管置入术治疗,观察组患者采用肠道支架植入术治疗。对比分析两组患者手术指标、术后恢复情况以及炎症指标水平。结果两组患者手术时间比较无明显差异(P>0.05);观察组患者肠道准备时间以及术中出血量水平均显著低于对照组(P<0.05)。观察组患者术后恢复指标水平均显著低于对照组(P<0.05)。手术前,炎症指标水平组间比较无明显差异(P>0.05);手术后,两组患者炎症指标水平均显著提高,但观察组水平显著低于对照组(P<0.05)。结论针对结直肠癌并发肠梗阻患者,应用肠道支架植入术治疗在解除梗阻的同时可显著降低术中创伤、缩短术后恢复周期、降低术后炎症反应水平,具有推广应用价值。

Objective:To analyze the effect of intestinal stent implantation in patients with colorectal cancer complicated by intestinal obstruction.Methods:A total of 94 patients with colorectal cancer complicated by intestinal obstruction admitted to our hospital from January 2022 to December 2022 were selected by random sampling method,who were randomly numbered 1-94,and were divided into the control group and the observation group,47 cases with odd numbers and the other 47 cases with even numbers.Patients in the control group were treated with intestinal obstruction catheterization,while patients in the observation group were treated with intestinal stent implantation.The surgical indicators,postoperative recovery,and inflammatory indicator levels of the two groups were compared and analyzed.Results:There was no significant difference in the operation time between the two groups(P>0.05);The intestinal preparation time and intraoperative hemorrhage level of patients in the observation group were significantly lower than those in the control group(P<0.05).The levels of postoperative recovery indicators in the observation group were significantly lower than those in the control group(P<0.05).Before surgery,there was no significant difference in the levels of inflammatory indicators between groups(P>0.05);after surgery,the levels of inflammatory indicators in both groups were significantly increased,but those in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:For patients with colorectal cancer complicated by intestinal obstruction,the application of intestinal stent implantation can significantly reduce intraoperative trauma,shorten postoperative recovery period and decrease the level of postoperative inflammatory response while relieving obstruction,which has popularization value.