标题：内镜下支架置入结合择期手术与急诊手术治疗梗阻性结直肠癌临床研究

      作者：叶峰，余勇    武汉市黄陂区中医医院外一科，湖北 武汉 432200

      卷次： 2019年30卷6期

      【摘要】 目的 探讨内镜下支架置入联合择期手术与急诊手术治疗梗阻性结直肠癌的临床价值。方法 回顾性分析2013年7月至2017年7月武汉市黄陂区中医医院外一科收治的66例梗阻性结直肠癌患者的临床资料，根据资料中不同的治疗方法将其分为对照组和观察组，每组33例，观察组予以内镜下支架置入联合择期手术治疗，对照组予以急诊手术治疗，比较两组患者一期切除吻合率、住院时间、手术时间、术后通气时间、并发症和住院期间死亡情况。结果 观察组患者的一期切除吻合率为96.97%，明显高于对照组的57.58%，差异有统计学意义(P<0.05)；观察组患者的手术时间和术后通气时间分别为(156.02±49.68) min、(3.58±1.38) d，均较对照组的(180.42±48.06) min、(4.50±2.07) d明显缩短，差异均有统计学意义(P<0.05)；观察组患者的总并发症发生率为6.06%，明显低于对照组的30.30%，差异有统计学意义(P<0.05)。结论 内镜下支架置入联合择期手术治疗梗阻性结直肠癌患者可使一期切除吻合率显著提高，迅速缓解肠梗阻症状，减少并发症。
      【关键词】 内镜下支架置入；择期手术；急诊手术；梗阻性结直肠癌；临床价值
      【中图分类号】 R735 【文献标识码】 A 【文章编号】 1003—6350（2019）06—0741—03

Clinical study of endoscopic stent placement combined with elective surgery and emergency surgery forobstructive colorectal cancer.
YE Feng, YU Yong. First Department of Surgery, the Chinese Medicine Hospital of HuangpiDistrict of Wuhan, Wuhan 432200, Hubei, CHINA
【Abstract】 Objective To investigate the clinical value of endoscopic stent implantation combined with elec-tive surgery and emergency operation in the treatment of patients with obstructive colorectal cancer. Methods The clin-ical data of 66 cases of patients with obstructive colorectal cancer, who admitted to the First Department of Surgery, theChinese Medicine Hospital of Huangpi District of Wuhan from July 2013 to July 2017, were retrospectively analyzed.According to the different treatment methods, the cases were divided into the control group and the study group with 33cases in each group. The study group was treated with stent implantation combined with endoscopic surgery, and the con-trol group received emergency surgical treatment. The one stage resection rate, hospitalization time, operation time,postoperative ventilation time, complications during hospitalization, and death were compared between the twogroups Results (1) the rate of one-stage resection and anastomosis in the study group (96.97% ) was significantlyhigher than that in the control group (57.58%), P<0.05; (2) the operation time and postoperative ventilation time in thestudy group were (156.02±49.68) min, (3.58±1.38) d, respectively, which were significantly shorter than corresponding(180.42±48.06) min and (4.50±2.07) d in the control group (P<0.05); (3) the complication rate of study group (6.06%)was significantly lower than that in the control group (30.30%), P<0.05. Conclusion Endoscopic stent placement com-bined with elective surgery for obstructive colorectal cancer can significantly improve the one-stage resection and anasto-mosis rate, relieve symptoms of intestinal obstruction and reduce complications.
      【Key words】 Endoscopic stent placement; Elective surgery; Emergency surgery; Obstructive colorectal cancer;Clinical value