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目的:探讨内支架对大肠癌急性梗阻一期切除吻合的疗效。方法:选择2010年7月至2012年7月来我院急诊治疗确诊为大肠癌导致急性肠梗阻的患者98例,随机分为观察组和对照组各49例,观察组患者植入内支架,一周后行一期吻合切除术,对照组行急诊切除手术。观察和比较两者患者一期切除率、治疗效果和并发症的情况。结果:观察组一期切除率为95.7%(47例)较对照组分71.4%(35例)高;两组比较差异均有统计学意义(x2=22.9,P<0.05);实验组症状缓解48例(缓解率98%),对照组症状缓解33例(缓解率67.3%),两组临床疗效比较有显著性差异(x2=33.3,P<0.001),实验组术后并发症发生率(10.2%)要明显小于对照组(26.5%)(x2=9.6,P<0.01)。结论:大肠癌急性梗阻术前植入内支架能有效提高患者的一期手术吻合率和治疗效果,降低术后并发症,值得在临床推广。
Objective: To investigate the curative effect of internal stent on primary resection and anastomosis of acute obstruction of colorectal cancer. Methods: From July 2010 to July 2012, 98 cases of acute intestinal obstruction diagnosed by colorectal cancer in our hospital were randomly divided into observation group (49 cases) and control group (49 cases). The patients in observation group were implanted with stents, A week after an anastomosis resection, the control group underwent emergency surgery. Observe and compare the patients with primary resection rate, the treatment effect and complications. Results: The primary resection rate was 95.7% (47 cases) in observation group compared with 71.4% (35 cases) in control group. The differences between the two groups were statistically significant (x2 = 22.9, P <0.05) 48 cases (remission rate was 98%), 33 cases remission (67.3% remission rate) in the control group, the clinical curative effect was significantly different between the two groups (x2 = 33.3, P <0.001) 10.2%) was significantly smaller than the control group (26.5%) (x2 = 9.6, P <0.01). CONCLUSION: Acute obstruction of colorectal cancer can be effectively implanted in the stent before operation, which can effectively improve the first-line operation rate and treatment effect and reduce postoperative complications, which is worthy of clinical application.