超细内镜引导自膨式金属支架置入术在结肠肿瘤并梗阻诊治中的临床观察

Clinical observation of ultra-fine endoscopic guided self-expandable metal stenting implantation in the diagnosis and treatment of obstructive colorectal cancer

目的探讨超细内镜引导自膨式金属支架置入术在结肠肿瘤并梗阻诊治中的临床疗效及可行性。方法回顾性分析2019年6月-2020年12月该院22例采用超细内镜引导自膨式金属支架置入治疗结肠肿瘤并梗阻患者的临床资料。结果超细内镜引导自膨式金属支架置入应用成功率为95.45%,手术操作时间为(26.0±7.2)min,行一期外科手术的19例患者均无吻合口瘘发生,3例未行外科手术治疗的患者,3个月随访均未再发肠梗阻。结论超细内镜引导自膨式金属支架置入术诊治结肠肿瘤并梗阻与传统X线辅助下经内镜肠道金属支架置入术比较,可避免术中医患辐射损伤、降低介入室内交叉感染风险、减少医疗费用,值得临床推广应用。

Objective To investigate the clinical effect and feasibility of self-expandable metal stenting guided by ultra-fine endoscope in diagnosis and treatment of colon tumor with obstruction.Methods Retrospective analysis was performed on the clinical data of 22 patients with colonic tumor and obstruction treated by the method of self-expandable metal stenting guided by ultra-fine endoscope from June 2019 to December 2020.Results The success rate was 95.45%,the median operative time was(26.0±7.2)min,19 patients underwent one-stage surgery,none anastomotic complications,without surgical treatment was performed in 3 patients,and no recurrence of intestinal obstruction was found during 3-month follow-up.Conclusion Compared with the traditional X-ray assisted intestinal metal stent implantation via endoscopy,the treatment of colon tumor with obstruction by ultra-fine endoscopy guided self-expanding metal stent implantation can avoid the radiation injury of doctors and patients during the operation,reduce the risk of interventional indoor cross-infection,and reduce the medical costs,which is worthy of clinical promotion and application.