左侧结直肠癌合并肠梗阻采用自扩张支架治疗的临床效果

Clinical effect report of self expanding stent for the treatment of patients with left colorectal cancer combined with intestinal obstruction

目的:探讨自扩张支架治疗左侧结直肠癌合并肠梗阻的临床效果。方法:收治左侧结直肠癌合并肠梗阻患者48例,按照治疗方法的不同分为研究组(自扩张支架组,n=25)与对照组(急诊手术组,n=23)。对比分析两组患者的治疗效果。结果:研究组Ⅰ期切除率、Ⅰ期吻合率均高于对照组;研究组造口率、并发症发生率、死亡率均低于对照组,两者差异均有统计学意义(P<0.05)。结论:自扩张支架治疗左侧结直肠癌合并肠梗阻有较好的临床效果。

Objective:To explore the clinical effect of self expanding stent in the treatment of patients with left colorectal cancercombined with intestinal obstruction.Methods:48 patients with left colorectal cancer combined with intestinal obstruction wereselected.According to the different treatment methods they were divided into the study group(self expanding stent group,n=25)andthe control group(the emergency operation group,n=23).The therapeutic effect of the two groups were compared and analyzed.Results:The I stage resection rate and I stage anastomosis rate of the patients in the study group were higher than those of thecontrol group.The stoma rate,incidence rate of complications and mortality rate of patients in the study group were lower thanthose in the control group.The differences were statistically significant between groups(P<0.05).Conclusion:Self expanding stenthas good clinical effect in the treatment of patients with left colorectal cancer combined with intestinal obstruction.