结直肠支架应用于左半结肠癌伴肠梗阻的价值

The Value of Colorectal Stent in Left Colon Cancer With Intestinal Obstruction

目的探究左半结肠癌伴肠梗阻患者接受结直肠支架与腹腔镜根治手术治疗的有效性。方法选取2016年3月—2017年10月左半结肠癌伴肠梗阻患者100例作为研究对象。根据其治疗方案的不同分组。其中,对照组实施急诊开腹根治术治疗,实验组则实施结直肠支架与腹腔镜根治术联合治疗,分析两组的治疗结果。结果实验组的手术出血量、手术用时、肠功能恢复时间、住院时间均低于对照组,差异具有统计学意义(P<0.05);实验组的并发症几率(8.00%)较对照组并发症几率(34.00%)低,差异具有统计学意义(P<0.05)。结论左半结肠癌伴肠梗阻患者接受结直肠支架与腹腔镜根治术联合治疗,具有较高的安全性和有效性。

Objective To investigate the efficacy of colorectal stent and laparoscopic radical surgery in patients with left colon cancer and intestinal obstruction. Methods 100 cases of left colon cancer with intestinal obstruction from March 2016 to October 2017 were selected as the study subjects. The patients were divided into different groups according to their treatment plan. The control group was treated with emergency open radical operation. In the experimental group, combined treatment of colorectal stent and laparoscopic radical operation was performed. The treatment results of the two groups were analyzed. Results The bleeding volume, operation time, intestinal function recovery time and hospitalization time of the experimental group were lower than those of the control group, and the difference was statistically significant (P < 0.05). The incidence of complications in the experimental group (8.00%) was lower than that in the control group (34.00%). The difference was statistically significant (P < 0.05). Conclusion Patients with left colon cancer and intestinal obstruction undergoing combination of colorectal stent and laparoscopic radical surgery have high safety and efficacy.