| 曾凡勇,何启成,严强,等.结直肠癌合并肠梗阻患者结肠镜下支架置入术后行择期腹腔镜手术的时机选择及疗效分析[J].中国临床保健杂志,2021,24(2):188-190. |
| 结直肠癌合并肠梗阻患者结肠镜下支架置入术后行择期腹腔镜手术的时机选择及疗效分析 |
| The timing and impact on the curative effect of elective laparoscopic surgery for colorectal cancer patients with intestinal obstruction after colonoscopic stent implantation |
| 投稿时间：2020-10-08 |
| DOI：10.3969/J.issn.1672-6790.2021.02.008 |
| 中文关键词: 结直肠肿瘤 肠梗阻 结肠镜检查 腹腔镜检查 时间安排 |
| 英文关键词: Colorectal neoplasms Intestinal obstruction Colonoscopy Laparoscopy Time management 〖FL |
| 基金项目:浙江省医药卫生科技计划项目(2020RC117) |
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| 中文摘要: |
| 目的 分析结直肠癌合并肠梗阻患者结肠镜下支架置入术后行择期腹腔镜手术的时机选择,并比较其疗效差异。方法 选取湖州交通医院2019年7月至2020年7月收治的86例结直肠癌合并肠梗阻患者,均行结肠镜下支架置入术,根据术后行择期腹腔镜手术的不同时机将其分为A组与B组,每组43例,A组于结肠镜下支架置入术后2周内行择期腹腔镜手术,B组于结肠镜下支架置入术后2~4周行择期腹腔镜手术,比较两组的手术指标、术后恢复指标以及并发症发生情况。结果 A组的手术时间、出血量、淋巴结清扫数目[(118.02±35.27)min、(60.14±15.11)mL、(11.82±3.20)枚]与B组[(116.23±32.15)min、(57.86±13.54)mL、(11.65±3.17)枚]相近,P>0.05；A组的肛门排气时间、排便时间、进流食时间、住院时间[(1.44±0.26)d、(5.07±1.01)d、(4.70±1.00)d、(10.32±2.94)d]短于B组[(1.59±0.33)d、(5.83±1.56)d、(5.35±1.16)d、(14.54±4.18)d],P<0.05；A组的并发症发生率(11.63%)与B组(16.28%)相近(P>0.05)。结论 结直肠癌合并肠梗阻患者结肠镜下支架置入术后2周内行择期腹腔镜下结直肠癌根治术的疗效优于术后2~4周行择期腹腔镜手术,患者术后恢复快,缩短住院时间。 |
| 英文摘要: |
| Objective To analyze the timing of elective laparoscopic surgery in patients with colorectal cancer complicated with intestinal obstruction after colonoscopic stent implantation and compare the curative effect.Methods 86 patients with colorectal cancer complicated with intestinal obstruction in our hospital from July 2019 to July 2020 were selected and divided into group A and group B according to the different timing of laparoscopic surgery.Group A underwent elective laparoscopic surgery within 2 weeks after stent placement under colonoscopy,and group B received selective stent implantation 2-4 weeks after operation Laparoscopic surgery,the surgical indicators,postoperative recovery indicators and complications were compared between two groups.Results The operation time,blood loss,number of lymph node dissection [(118.02±35.27) min,(60.14±15.11) mL,(11.82±3.20) pieces] in group A were similar to those in group B [(116.23±32.15)min,(57.86±13.54)mL,(11.65±3.17) pieces,P>0.05].The anal exhaust time,defecation time,liquid feeding time,hospitalization time [(1.44±0.26) d,(5.07±1.01) d,(4.70±1.00) d,(10.32±2.94) d] in group A were shorter than those in group B [(1.59±0.33)d,(5.83±1.56) d,(5.35±1.16) d,(14.54±4.18) d].The incidence of complications in group A (11.63%) was similar to that in group B (16.28%,P>0.05).Conclusion The curative effect of selective laparoscopic surgery within 2 weeks after stent placement in colorectal cancer patients with intestinal obstruction is better than that of laparoscopic surgery after 2-4 weeks,which can significantly improve the postoperative recovery index and shorten the hospital stay. |
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