结肠金属支架在左半结肠癌合并梗阻中的临床应用

The Clinical Application of Colonic Metal Stent in the Left Colon Cancer Complicated with Obstruction

目的:探讨金属支架在左半结肠癌合并梗阻中的临床应用价值。方法:选取20例左半结肠癌合并梗阻患者,均行金属支架置入梗阻后一期切除吻合,探讨其临床疗效。结果:20例患者金属支架置入梗阻后2 d腹围减少至置入前的(86.2±3.0)%,差异具有统计学意义(P<0.01);腹部立位X线片示液气平减少,肠管扩张程度减轻,近端结肠最大横径减少至(4.32±0.6)cm,与置入前的(8.1±0.7)cm比较,差异具有统计学意义(P<0.01);患者腹痛、腹胀症状较术前均明显缓解。结论:结肠金属支架应用于左半结肠癌并梗阻患者行一期肠切除吻合,是安全、有效的治疗方法,值得推广。

Objective：To explore the clinical value of metallic stent in the treatment of left colon malignant obstruction. Method： Select 20 cases of left colon cancer with obstruction of patients, all line metal stent obstruction after a resection and anastomosis, to explore the clinical curative effect. Result：20 patients metal stent obstruction before 6 to 2 days after placement（86.2±3.0）%,statistically significant difference（P〈0.01）.Abdominal stand X-ray film in liquid gas flat cut,reduce blind expansion degree and proximal colonic maximum transverse diameter down to（4.32±0.6）cm,prior to the placement of（8.1±0.7） cm, statistically significant difference（P〈0.01）.Patients with abdominal pain and abdominal distension symptoms were obviously relieved. Conclusion：Left colon malignant obstruction can be relieved effectively by metallic stent. Metallic stent can provide safe and effective treatment for the colon cancer patients, and create the condition for tumor resection,the method worth promoting.