三种方法引导下放置支架治疗结直肠癌伴肠梗阻的比较

Comparison of three stent placement ways in the treatment of colorectal cancer complicated with intestinal obstruction

目的比较单纯内镜、X线以及内镜结合X线引导下放置支架治疗结直肠癌伴肠梗阻的安全性及有效性,为临床治疗提供理论依据。方法 57例结直肠癌并发肠梗阻患者,随机分为内镜组(18例)、X线组(17例)及内镜结合X线组(22例),分别在内镜、X线及内镜结合X线引导下放置支架。观察三组并发症发生情况、平均手术时间、放置成功率、临床缓解率及生存率。结果与其他两组比较,内镜结合X线组腹痛、出血及支架移位发生情况明显减少(P<0.05),临床缓解率显著增高(P<0.05),平均手术时间显著减少(P<0.05)。结论内镜结合X线引导较单纯内镜或X线引导下放置支架具有更高的临床缓解率及更少的并发症。

ObjectiveTo compare safety and effectiveness of endoscope, X-ray, and endoscope combined with X-ray in guidance of stent placement in the treatment of colorectal cancer complicated with intestinal obstruction, and to provide reference for clinical treatment.MethodsA total of 57 colorectal cancer complicated with intestinal obstruction patients were randomly divided into endoscope group （18 cases）, X-ray group （17 cases） and endoscope combined with X-ray group （22 cases）. They received stent placement respectively under guidance of endoscope, X-ray, and endoscope combined with X-ray. Observation was made on complications, mean operation time, successful placement rate, clinical remission rate and survival rate.Results Comparing with the other two groups, the endoscope combined with X-ray group had much less abdominal pain, hemorrhage and stent shifting （P〈0.05）, higher clinical remission rate （P〈0.05）, and shorter mean operation time （P〈0.05）.ConclusionCombination of endoscope and X-ray shows higher clinical remission rate and less complications in stent placement than endoscope or X-ray.