横结肠造瘘在急性癌性肠梗阻中的应用体会

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英文篇名：Experience of application of transverse colostomy in acute malignancy intestinal obstruction 作者：何应新 ; 洪晓城 ; 叶伟杰 英文作者：HE Yingxin;HONG Xiaocheng;YE Weijie;Dongguan Fifth People's Hospital,Guangdong; 关键词：横结肠造痿 ; 乙直肠癌 ; 急性肠梗阻 ; 体会 英文关键词：Transverse colostomy;;Sigmoid cancer;;Acute intestinal obstruction;;Experience 中文刊名：GYKX 英文刊名：China Medicine and Pharmacy 机构：广东省东莞市第五人民医院普外科; 出版日期：2018-12-25 出版单位：中国医药科学 年：2018 期：v.8;No.192 语种：中文; 页：GYKX201824068 页数：3 CN：24 ISSN：11-6006/R 分类号：230-232

摘要

目的探讨横结肠造痿在急性癌性肠梗阻中的应用体会。方法回顾性分析我院自2014年3月～2018年3月期间收治的患有乙状结肠癌和直肠癌引起急性肠梗阻的患者30例,将其随机分成对照组和研究组。研究组应用横结肠造痿术治疗上述原因引起的急性肠梗阻;而对照组将使用常规行乙状结肠近端单口造痿术的临床治疗方法。对比分析治疗后患者的治疗效果以及治疗后复发实况。结果研究组的治疗效果明显好于对照组的治疗效果(P <0.05)。结论就本研究而言,横结肠造瘘治疗相比于乙状结肠单口造瘘疗效好,更可能更适合该类患者。该方法安全有效治疗方法,在临床上可以进一步的推广使用。
        Objective To explore and summarize the experience of the application of transverse colostomy in acute malignancy intestinal obstruction. Methods 30 patients with acute intestinal obstruction caused by sigmoid colon cancer and rectal cancer who were admitted and treated in our hospital from March 2014 to March 2018 were analyzed retrospectively. They were randomly divided into the control group and the research group. The research group used transverse colostomy to treat acute intestinal obstruction caused by the above reasons. The control group used conventional sigmoid colon proximal ostomy to treat acute intestinal obstruction. After treatment, the curative effect was compared and recurrence was discussed and analyzed. Results The curative effect of the study group was significantly better than that of the control group(P < 0.05). Conclusion Compared with sigmoid colon proximal ostomy, transverse colostomy has a better curative effect and it is likely to be more suitable for patients with acute malignancy intestinal obstruction. This method is safe and effective, which is worthy of further promotion and application in clinical practice.

引文

[1]闫竞一,钱海鑫,陈笑雷,等.无切口管状吻合器横结肠袢式造口术在急性低位肠梗阻中的应用[J].中华胃肠外科杂志, 2016, 19(12):1430-1431.
    [2]田步宁,符颖,岳红,等.自膨胀型金属支架治疗晚期结直肠癌合并急性肠梗阻的临床初步研究[J].中国普通外科杂志, 2016, 25(4):481-486.
    [3]许建利,帅磊渊.支架置入术治疗晚期结直肠癌合并急性肠梗阻的临床疗效[J].中国普通外科杂志, 2016, 25(10):1426-1430.
    [4]李兵,夏邦红,庞勇,等.Ⅰ期肠切除吻合术对左半结肠癌并急性肠梗阻患者SIRS的影响[J].重庆医学, 2016, 45(18):2540-2542.
    [5]马若兰,吴安石,沈荐,等.腹横筋膜阻滞在腹腔镜直肠癌低位前切除术后镇痛中的应用[J].中国微创外科杂志, 2017, 17(12):1064-1067.
    [6]尚攀峰,岳中瑾,赵彦宗,等.乙状结肠直肠膀胱术(MainzⅡ)10年经验总结及随访[J].中华泌尿外科杂志, 2016, 37(5):335-339.
    [7]陈俊杰,赖亚栋,李东升,等.肠道支架及肠梗阻导管治疗急性左半结直肠癌性梗阻的研究[J].中华消化内镜杂志, 2016, 33(4):252-254.
    [8]方世明,刘玉金,高峰.区域性动脉灌注化疗并栓塞对不能手术的恶性肠梗阻的临床应用[J].介入放射学杂志, 2016, 25(2):120-124.
    [9]张志鹏,姚宏伟,陈宁,等.腹腔镜辅助经肛门全直肠系膜切除术治疗中低位直肠癌的临床疗效[J].中华消化外科杂志, 2017, 16(7):695-700.
    [10]赵兴旺,刘正,王锡山.自膨胀金属支架在癌性肠梗阻治疗中的临床疗效分析[J].中国全科医学, 2016, 19(3):259-263.
    [11]韦振轩,陈小勋. X线辅助内镜置入支架联合腹腔镜手术治疗结直肠癌并梗阻的疗效分析[J].中国普通外科杂志, 2016, 25(4):475-480.
    [12]林恒军,邱学科,袁航.经肛拖出式全腹腔镜直肠癌前切除在直肠癌患者中的临床价值[J].中国内镜杂志, 2017, 23(1):1-5.
    [13]刘其腾,陈静,贾宝庆,等.局部中晚期直肠癌术前新辅助同期加量IMRT联合术前化疗的Ⅱ期临床研究[J].中华放射肿瘤学杂志, 2017,26(3):302-306.
    [14]张正红,葛明建,杨彦,等.腹腔镜下空肠拖出造瘘在胸、腹腔镜食管癌切除术后营养支持治疗中的应用[J].中国微创外科杂志, 2017, 17(10):936-938.
    [15]罗双灵,蔡永华,张兴伟,等.经肛门与腹腔镜全直肠系膜切除术治疗直肠癌的疗效分析[J].中华消化外科杂志, 2017, 16(7):703-708.
    [16]郑威强,章烈,程勇.梗阻性结直肠癌导管减压后3D腹腔镜与开腹手术的疗效比较[J].中国普通外科杂志, 2017, 26(10):1286-1290.