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目的:观察内支架置入后手术治疗结直肠癌梗阻围术期的疗效。方法:将结直肠癌梗阻43例随机分为放置内支架解除梗阻后手术组(观察组)18例和未行内支架置入直接手术治疗组(对照组)25例,比较两组Ⅰ期手术切除率、手术时间、术后排气时间、住院时间、并发症和病死率。结果:观察组Ⅰ期手术16例,占88.9%;对照组Ⅰ期手术12例,占48.0%,两组比较,差异显著(P<0.05)。观察组手术时间和术后排气时间显著短于对照组(P<0.05),住院时间两组差异不显著(P>0.05)。观察组并发症发生率、病死率显著低于对照组(P<0.05)。结论:采用内支架置入后手术治疗结直肠癌梗阻,能有效解除梗阻症状,疗效优于直接手术治疗。
Objective: To observe the effect of perioperative treatment of colorectal cancer after percutaneous stent placement. Methods: Forty-three patients with colorectal cancer obstruction were randomly divided into two groups: operation group (observation group) and operation group (control group) Rate, operation time, postoperative exhaust time, hospital stay, complications and mortality. Results: In the observation group, stage Ⅰ operation was performed in 16 cases (88.9%). In the control group, stage Ⅰ operation was performed in 12 cases (48.0%). There was significant difference between the two groups (P <0.05). The operation time and postoperative exhaust time in observation group were significantly shorter than those in control group (P <0.05). There was no significant difference in hospitalization time between the two groups (P> 0.05). The incidence of complications and mortality in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: The treatment of colorectal cancer obstruction by internal stent implantation can effectively relieve the symptoms of obstruction, the curative effect is better than direct surgical treatment.