结肠镜在结直肠癌并急性肠梗阻诊治中的应用价值分析

Value of Colonoscopy in the Diagnosis and Treatment of Acute Intestinal Obstruction Caused by Colorectal Cancer

目的:探讨对合并急性肠梗阻的结直肠癌患者应用结肠镜的诊治效果。方法:选择60例结直肠癌合并急性肠梗阻的患者为研究对象,应用结肠镜对其梗阻进行病因诊断分析,并给予暂时性的缓解治疗,观察诊断及治疗效果。结果:结肠镜对结直肠癌诊断准确性100%,其中左半结肠癌36例,右半结肠癌16例,直肠癌8例。结肠镜治疗结直肠癌急性肠梗阻效果显著,其中显效49例,有效7例,总有效率93.3%。结论:应用结肠镜对结直肠癌发生急性肠梗阻的患者进行梗阻原因及性质诊断明显,且初步缓解治疗明显,大大提高了此类患者的治疗效果,值得在临床上推广应用。

Objective： To investigate the diagnosis and treatment effect of colonoscopy in acute intestinal obstruction caused by colorectal cancer. Method： 60 cases of colorectal cancer complicated with acute intestinal obstruction as the research object,colonoscopy was used in the diagnosis of obstruction etiology. and gave temporary relief treatment,the effect of diagnosis and treatment was observed. Result： The diagnostic accuracy of colonoscopy for colorectal cancer was 100%,there were 36 cases of carcinoma of the left colon,16 cases of the right colon cancer,8 cases of rectal cancer. The colonoscopic treatment of colorectal cancer with acute intestinal obstruction effect was remarkable,there were 49 cases excellent and 7 cases effective,The total efficiency was 93. 3%. Conclusion： The application of colonoscopy can diagnose the causes and properties of acute intestinal obstruction patients,And preliminary remission treatment,greatly improve the effect of treatment of such patients,worth of clinical application.