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[目的]探讨经内镜肠梗阻导管置管在结、直肠癌所致肠梗阻患者治疗中的临床效果。[方法]选取我院2013年12月~2015年12月期间收治的27例结直肠癌性肠梗阻患者,先行经鼻或经肛途径置入肠梗阻导管,通过导管减压、引流等治疗后,再行一期根治切除吻合术。结果27例患者中22例行经肛型肠梗阻导管置入,5例行经鼻型肠梗阻导管置入。置管12~36h后所有患者腹痛、腹胀症状明显缓解;24例于48~96h后腹痛、腹胀症状完全消失。比较所有患者置管前、后腹围缩小程度,置管24h后为(80.3±17.6)%,明显小于置管前的100%(t=3.565,P<0.05)。27例患者经肠梗阻导管治疗7~14d后,均成功施行一期根治切除吻合术,术后无腹腔感染、吻合口漏等严重并发症发生。[结论]经肠梗阻导管减压、引流等治疗后再行一期根治切除吻合术,是治疗结直肠癌性肠梗阻的有效方法。
[Objective] To investigate the clinical effect of endoscopic ileus catheterization in the treatment of intestinal obstruction caused by colorectal cancer. [Methods] Twenty-seven patients with colorectal cancer with intestinal obstruction admitted from December 2013 to December 2015 in our hospital were treated with ileus or transanal approach and followed by catheter decompression and drainage , And then a radical resection and anastomosis. Results Twenty-two of the 27 patients underwent catheterization of the anus-type ileus, and 5 of the 27 patients received nasal-type ileus. All patients with abdominal pain and bloating symptoms were relieved after 12 ~ 36h of catheterization. The symptoms of abdominal distension disappeared completely in 24 patients after 48 ~ 96h. All patients were compared before and after the reduction of abdominal circumference, 24h after catheterization was (80.3 ± 17.6)%, significantly less than 100% before catheterization (t = 3.565, P <0.05). Twenty-seven patients were successfully treated with a radical resection and anastomosis 7 to 14 days after the ileal catheterization. No postoperative abdominal infection, anastomotic leakage and other serious complications occurred. [Conclusion] The treatment of intestinal obstruction by decompression, drainage and other treatment after a radical resection and anastomosis, is an effective method for the treatment of colorectal cancer intestinal obstruction.