设为首页 | 加入收藏
| 欢迎光临本站!

消化内镜学分会官方网站

当前位置:文献追踪 > 国内外期刊

结直肠金属支架置入术对左半结肠癌所致肠梗阻的治疗价值

发布日期:2014-10-22 12:30:34 文章来源:中华消化内镜杂志 作者次数:1488

                                

    结直肠金属支架置入术对左半结肠癌所致肠梗阻的治疗价值= Therapeutic value of endoscopic metal stent implantation for left-sided malignant colorectal obstruction

    [刊,中]/ 张杰,陈婧,张谨芬,武沪平,郝建宇(首都医科大学附属北京朝阳医院消化内科,北京100020)//中华消化内镜杂志.—2012,29(2).—85~87

    探讨结直肠金属支架置入术对左半结肠癌所致肠梗阻的治疗价值。对2007年5月至2011年5月因左半结肠癌肠梗阻接受结直肠金属支架置入术的29例患者的病例资料进行回顾性分析。27例成功进行支架置入术,腹胀、呕吐症状缓解,2例由于病变肠段较长,高度水肿,完全阻塞肠腔,导丝无法通过而未成功,支架置入成功率92.6%(27/29)。置入支架的27例中24例成功进行了Ⅰ期左半结肠切除无张力吻合术,术中发现支架穿透肠壁1例(1/27,3.7%),手术后好转,围手术期无死亡病例发生,平均住院天数11.7 d;3例未接受手术治疗者支架通畅时间平均为5个月。对于左半结肠癌所致肠梗阻,金属支架置入术可有效解除梗阻,并作为过渡治疗,利于手术前进行充分的肠道准备,为择期行外科肿瘤根治术创造条件。图4参7(顾文景)

    关键词:金属支架; 恶性结肠病变; 肠梗阻

    E-mail: haojianyu@medmail.com.cn

    Internal Medicine. Therapeutic value of endoscopic metal stent implantation for left-sided malignant colorectal obstruction. To investigate the therapeutic value of endoscopic implantation of metal stents for obstruction caused by left-sided malignant colorectal tumor. Data of 29 patients with left-sided malignant colonic obstruction who underwent stenting from May 2007 to May 2011 were retrospectively analyzed. Self-expanding metal stents were successfully implanted in 27 patients. Symptoms of abdominal distention and vomiting subsided in these patients. The procedure failed in 2 patients (2/29, 6.9%), because the guidewire failed to pass the colonic stricture due to edema and the length of the diseased colon. Technical success was achieved in 27 of total 29 patients (27/29, 92.6%). Out of the 27 patients, stage primary left-sided colonic resection and anastomosis were successfully performed in 24 patients. Colonic perforation was found intraoperatively in 1 patient (1/27, 3.7%) who subsequently recovered after operation. There was no death during the perioperative period with the average hospital stay of 11.7 days. A mean colonic stent patency for 5 months was observed in 3 patients who underwent palliative stenting only. Endoscopic implantation of metal stents is effective for left-sided malignant colorectal obstruction. As a bridge to surgery, it facilitates sufficient bowel preparation for elective radical operation.

    Key words: Metal stent; Malignant colonic disease; Bowel obstruction

    ZHANG Jie (Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China), CHEN Jing ZHANG Jin-fen, et al//Chin J Dig Endosc,2012,29(2).85-87.

    (作者:张杰,陈婧,张谨芬等)
相关评论
用户名: 登录
相关文章