结肠镜对急性不全肠梗阻的诊断及治疗作用探讨

The diagnostic and therapeutic value of colonscope in the acute incomplete bowel obstruction

目的 探讨结肠镜在急性不全肠梗阻患者中的诊断与治疗作用。方法 对我院 1994年 5月～ 2 0 0 3年 4月共 5 933例肠镜检查中的 12 2例 (占 2 .0 6 % )急性不全肠梗阻患者进行回顾性分析 ,就其发病年龄分布、梗阻病因及内镜下诊断进行分析探讨。结果 本组 12 2例急性不全肠梗阻的原因包括肠癌、息肉、粪块、炎症性肠病等多种 ,其中结直肠癌共 5 0例 ,发病率最高 ,占 4 0 .98% ,且以左半结肠癌为主。肠粪石梗阻在高龄患者中发病率仅次于结肠癌。全部患者的肠镜检查结果中无假阴性或假阳性。同时结肠镜可解除非肿瘤病变如粪石、肠粘连等所致的肠梗阻。结论 结肠镜检查对急性不全肠梗阻有重要的诊断价值并可对治疗起积极指导作用。

Objective To investigate the valuation of colonscope for the diagnosis and treatment of acute incomplete bowel obstruction.Methods One hundred and twenty-two patients with acute incomplete bowel obstruction were diagnosed and treated.The patients' age,obstructive causes and the value of endoscopic diagnosis were evaluated.Results The colorectal carcinoma were found in 50 of 122 patients(40.98%).Most of them were diagnosed as left-side colorectal carcinoma.No false negative or positive diagnoses were made in the colorectal obstruction patients.Conclusion There is a very significant diagnostic and therapeutic value of colonscope in the incomplete colorectal obstruction