| 许刚1 王传龙1 李才菊1 向黎明1 熊德海2.左半结直肠癌并急性肠梗阻经内镜介入治疗后再限期手术
的临床应用探讨[J].,2012,12(27):5333-5335 |
| 左半结直肠癌并急性肠梗阻经内镜介入治疗后再限期手术
的临床应用探讨 |
| The Clinical Application of Deadline for Surgery after the Left Half ofColorectal Cancer and Acute Intestinal Obstruction byEndoscopic Treatment |
| |
| DOI： |
| 中文关键词: 结直肠肿瘤 肠梗阻 介入治疗 限期手术 |
| 英文关键词: Colorectal cancer Intestinal obstruction Interventional treatment Deadline for surgery |
| 基金项目: |
|
| 摘要点击次数: 658 |
| 全文下载次数: 900 |
| 中文摘要: |
| 目的：探讨左半结直肠癌并急性肠梗阻经内镜介入治疗后再限期行肿瘤根治切除及一期肠吻合术的临床应用价值。方法：回
顾性分析2006 年-2011 年我院收治的87 例左半结直肠癌并急性肠梗阻的临床资料。结果：本组87 例中，71 例经内镜置入支架
或肠梗阻导管介入减压治疗成功并完成了肿瘤根治性切除及一期肠吻合术。16 例介入治疗失败行了急诊手术治疗，其中支架或
导管置入失败7 例，堵塞5 例，减压效果差4 例，无穿孔、出血并发症，介入治疗有效率81.6%。限期手术后切口感染5 例(7.0%)；
急诊手术后切口感染4 例(25.0%)；吻合口漏2 例( 2.8%)；无死亡病例发生。结论：左半结直肠癌并急性肠梗阻经内镜介入治疗后，
限期行肿瘤根治性切除及一期肠吻合术，可以最大限度降低术后切口感染、吻合口漏机率，值得临床推广应用。 |
| 英文摘要: |
| Objective: To investigate the clinical value of deadline for radical tumor resection and an intestinal anastomosis after
the left half of colorectal cancer and acute intestinal obstruction by endoscopic treatment. Methods: Retrospective analysis of 2006 to
2011 in our hospital's clinical data of 87 cases of the left half of colorectal cancer and acute intestinal obstruction. Results: In this 87
cases, 71 cases of endoscopic stenting or intestinal obstruction catheterization decompression treatment success and complete tumor
radical resection and an intestinal anastomosis.16 cases involved in treatment failure line emergency surgery, Stent or catheter implant
failure in 7 cases, plug in 5 cases，the decompression effects of poor 4 cases, no perforation and bleeding complications，interventional
treatment efficiency 81.6% . Wound infection in 5 cases (7.0% ) after Deadline surgery; wound infection in 4 cases (25.0% ) after
emergency post-operative; Anastomotic leakage in 2 cases (2.8%)；no deaths have occurred. Conclusions: The deadline for radical
tumor resection and an intestinal anastomosis after the left half of colorectal cancer and acute intestinal obstruction by endoscopic
treatment, can minimize postoperative infection, anastomotic leakage probability, is worthy of clinical application. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
