金属支架联合腹腔镜治疗结直肠癌急性肠梗阻疗效观察

Metal Stent Combined with Laparoscopic Treatment of Acute Intestinal Obstruction of Colorectal Cancer Patients:Effect Observation

为探究金属支架联合腹腔镜治疗结直肠癌急性肠梗阻的疗效,将本院收治的64例结直肠癌急性肠梗阻患者随机分为观察组和对照组,各32例。观察组采用金属支架联合腹腔镜治疗,对照组采用急诊开腹手术治疗。比较两组手术指标、住院时间及术后并发症情况。结果显示,观察组手术时间、首次排气时间及住院时间均短于对照组,术中出血量少于对照组,淋巴结清扫数量多于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为12.50%,低于对照组的34.38%(P<0.05)。结果表明,采用金属支架联合腹腔镜治疗结直肠癌急性肠梗阻效果显著,金属支架作为一种姑息性手段,简便、安全、有效,联合腹腔镜治疗可显著优化手术指标,降低并发症发生率,促进患者恢复。

This study was to investigate the effect of colorectal cancer patients’acute intestinal obstruction(AIO)treated by metal stent combined with laparoscopic therapy,randomly divided 64 colorectal cancer patients complicated with AIO into observation group(32 cases,received above combined procedures)and control group(32 cases,emergency open surgery);then,compared both groups’operative norms,hospitalization time,and postoperative complication.As results,in the time for operating,for first flatus from anus,and for hospitalzation;in intraoperative bleeding volume;in the numbers of lymph-node removed;as well as in postoperative complication incidence observation group was significantly and respectively shorter,less,more,as well as lower(12.50%vs 34.38%)than control group(all,P<0.05).Results show that metal stent plus laparoscopic procedure for AIO of colorectal cancer patients has great effect,in which metal stent is a palliative measure with simple&easy,safe,and effective etc,merits,can significantly optimum operative norms,reduce complication incidence,and promote patients rehabilitated.