中国现代手术学杂志2018，Vol.22Issue(1)：1-5,5.DOI:10.16260/j.cnki.1009-2188.2018.01.001
非透视结肠自扩张金属支架置入过渡治疗急性梗阻性结直肠癌的临床分析
The Clinical Analysis of Colon Self-expanding Metal Stents without Fluoroscopic Monitoring for the Transitional Treatment of Acute Obstruction in Colorectal Cancer Patients
刘祺 1卢太亮 1董宏宇 1房志学 1黄兴 1吴俊杰 1黄忠诚1
作者信息
- 1. 湖南省人民医院结直肠肛门外科,长沙410005
- 折叠
摘要
Abstract
Objective To evaluate the efficacy and safety of colonoscopy guided placement of self-expanding metallic stents (SEMS) without fluoroscopic monitoring in the emergence management for acute malignant colorectal obstruction.Methods Clinical data of 63 patients undergoing colonoscopy guided placement of self-expanding metallic stents without fluoroscopic monitoring for acute malignant colorectal obstruction between March,2014 and December,2017 were reviewed retrospectively.Results The obstruction was located in the ascending colon and hepatic flexure(n =1),transverse colonic carcinoma(n =2),splenic flexure(n=6),descending colon (n =9),sigmoid (n =29),rectosigmoid junction and rectum (n =16).Technical success was achieved in all the 63 patients (100％).Mean time of operation was (12.3 ± 4.6) min (range,5～35 min).One patient died on the first day after operation because of severe infection with electrolyte acidbase balance disorder.The rest patients received liquid diet on the second day after operation,and the clinical symptoms were completely relieved within 2 ～ 4 days.Colorectal cancer radical surgery was performed 2 ～ 3weeks after the colon self-expanding metal stenting.Conclusions Colonoscopy-guided placement of self-expandable metallic stents without fluoroscopic monitoring in emergence management for acute malignant colorectal obstruction is effective and safe.It is a useful transitional treatment for acute obstructive colorectal cancer from emergency operation to limited operation.关键词
结直肠肿瘤/结肠梗阻/结肠支架/非透视/结肠镜检查Key words
colorectal neoplsms/large bowel obstruction/colonic stenting/non-fluoroscopy/colonoscopy分类
医药卫生引用本文复制引用
刘祺,卢太亮,董宏宇,房志学,黄兴,吴俊杰,黄忠诚..非透视结肠自扩张金属支架置入过渡治疗急性梗阻性结直肠癌的临床分析[J].中国现代手术学杂志,2018,22(1):1-5,5.
