两种置管减压术在梗阻性直肠癌治疗中的对比研究

A Comparative Study of Two Kinds of Tube Decompression for Obstructive Rectal Cancer

评价经肛24#留置导尿管置入治疗梗阻性直肠癌的可行性与临床疗效。选取笔者所在医院40例急性梗阻性直肠癌患者,随机分成两组,21例对照组选择经肛肠梗阻导管治疗,19例研究组采用经肛24#留置导尿管置入治疗。两组患者操作成功率为100%(40/40)。两组置管后3天所有患者腹痛、腹胀明显缓解,并腹围和肠管最大直径明显小于置管前,其差异有统计学意义(P<0.05)。95%(38/40)患者置管后3天7天成功施行I期根治性手术;比较两组间手术疗效,其差异无统计学意义(P>0.05)。24#留置导尿管置入治疗梗阻性直肠癌的操作技术安全、可行,且其手段是治疗梗阻性直肠癌的有效措施。

To explore the feasibility and clinical efficacy of transanal 24# indwelling urinary catheter in treatment of obstructive rectal cancer.With the assisted fluoroscopy,40 cases with acute obstructive rectal cancer were treated by transanal 24# indwelling urinary catheter and colonoscopic guideline of transanal ileus tube.Nineteen cases 24#indwelling urinary catheter group and 21 cases transanal ileus tube group were all security insertion or decompression,and total technical success rate was 100%(40/40).Abdominal pain and distention of all cases were relieved,and abdominal circumferences and colonic maximum diameter were statistically significantly reduced after insertion with two groups(P<0.05).Thirty-eight cases(95%)were successfully treated by one-stage radical operation 37 days insertion,and postoperative complication rates were approximately 5%(4.8 and 5.3%),and 24#indwelling urinary catheter group of the surgical outcomes compared with the transanal ileus tube were no statistically significant(P>0.05).The 24#indwelling urinary catheter group in treatment of obstructive rectal cancer is technically safe and feasible compared with colorectal tube group.Inserted 24# indwelling urinary catheter can enhance the therapeutic effects of one-stage radical operation in obstructive rectal cancer.