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目的分析高位结肠癌所致的急性结肠梗阻患者术前应用内镜钳道肠道支架对手术的有效性及安全性,探讨其临床应用价值。方法高位结肠癌合并梗阻的患者36例,癌梗阻为回盲部升结肠癌4例,升结肠癌20例,横结肠近肝曲12例。36例患者均先置入肠道支架解除梗阻,经术前准备后再行肿瘤切除术。分析手术肠切除的成功率、并发症发生率、手术时间及住院时间。结果经内镜钳道肠道支架置入成功率为100%,术后1~2 d均能解除梗阻,术后5~7 d接受手术,其中34例行一期行根治性切除术,1例术中发现肝转移,1例术中发现盆腔转移,术后均恢复顺利,无感染、吻合口漏及腹腔出血等并发症。结论高位结肠癌所致的急性结肠梗阻患者术前经内镜钳道肠道支架置入经济有效、并发症少,可以显著降低患者的创伤和痛苦,提高患者的生活质量,是一个安全、有效的的治疗方法。
Objective To analyze the effectiveness and safety of endoscopic forceps enteral stents for the treatment of acute colon obstruction caused by colon cancer and to discuss its clinical value. Methods High colon cancer patients with obstruction in 36 cases, cancer obstruction ileocecal ascending colon cancer in 4 cases, ascending colon cancer in 20 cases, transverse colon near liver song in 12 cases. Thirty-six patients were placed in the intestinal stent to relieve the obstruction, and the tumor was resected after preoperative preparation. The success rate of intestinal resection was analyzed, the incidence of complications, operation time and hospital stay were analyzed. Results The success rate of endoscopic grafting of intestinal grafts was 100%. Obstruction was relieved 1 to 2 days after operation. Surgery was performed 5 to 7 days after operation. Among them, 34 cases underwent radical resection in one stage and 1 Liver metastases were found in one case, and pelvic metastases were found in one case. No complications such as infection, anastomotic leakage and peritoneal hemorrhage were found. Conclusions The patients with acute colonic obstruction caused by colon cancer are cost-effective and less complicated by endoscopic forceps grafting, which can significantly reduce the trauma and pain of patients and improve their quality of life. It is safe and effective The treatment.