经肛型肠梗阻导管置入在急性左半结直肠恶性梗阻中的应用效果分析
|
摘要
为观察急性左半结直肠恶性梗阻患者接受经肛型肠梗阻导管置入干预的效果,将急性左半结直肠恶性梗阻患者100例随机分为对照组和观察组,每组50例。对照组实施常规营养支持、清洁灌肠、胃肠减压、禁食水等干预,观察组实施经肛型肠梗阻导管置入干预,为患者进行一期切除吻合术治疗,分析比较2组急性左半结直肠恶性梗阻患者治疗的效果。结果显示,观察组24h内症状缓解率、一期切除吻合术几率均高于对照组(P <0.05),其并发症发生率、死亡率均低于对照组(P<0.05),住院时间短于对照组(P <0.05)。结果表明,急性左半结直肠恶性梗阻患者接受经肛型肠梗阻导管置入干预,具有较高的安全性以及有效性。
In order to observe the intervention effect of transanal intestinal obstruction catheterization in patients with acute left semi-colorectal malignant obstruction,100 patients with acute left semi-colorectal malignant obstruction were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with routine nutrition support,cleaning enema,gastrointestinal decompression,fasting water,etc.The observation group was treated with transanal intestinal obstruction catheter placement,then the patients were treated with primary resection and anastomosis,the therapeutic effects of two groups were analyzed and compared.As results,the remission rate of symptoms and the rate of primary resection and anastomosis in observation group were higher than those in control group within24 hours(P <0.05),and the incidence of complications and mortality were lower than those in the control group(P <0.05).The hospitalization time was shorter than that of the control group(P <0.05).The results show that it is higher safe and effective for patients with acute left semi-colorectal malignant obstruction to receive transanal intestinal obstruction catheterization intervention.
In order to observe the intervention effect of transanal intestinal obstruction catheterization in patients with acute left semi-colorectal malignant obstruction,100 patients with acute left semi-colorectal malignant obstruction were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with routine nutrition support,cleaning enema,gastrointestinal decompression,fasting water,etc.The observation group was treated with transanal intestinal obstruction catheter placement,then the patients were treated with primary resection and anastomosis,the therapeutic effects of two groups were analyzed and compared.As results,the remission rate of symptoms and the rate of primary resection and anastomosis in observation group were higher than those in control group within24 hours(P <0.05),and the incidence of complications and mortality were lower than those in the control group(P <0.05).The hospitalization time was shorter than that of the control group(P <0.05).The results show that it is higher safe and effective for patients with acute left semi-colorectal malignant obstruction to receive transanal intestinal obstruction catheterization intervention.
引文
[1]徐元顺,杜洪涛,邵国庆,等.经肛型肠梗阻导管在急性左半结肠和直肠恶性梗阻中的应用[J].中华普通外科杂志,2015,30(4):316-317.
[2]矫秀妍.经肛型肠梗阻减压导管在急性左半结肠恶性梗阻中应用的术后护理体会[J].中国实用护理杂志,2016,32(12):912-914.
[3]郭永团,杜洪涛.经肛型肠梗阻导管置入联合外科手术治疗急性左半结直肠恶性梗阻[J].中国介入影像与治疗学,2018,15(9):577-578.
[4]吴妍.经肛型肠梗阻导管置入术后限期手术治疗急性梗阻性左半结直肠癌的效果观察[J].中国实用医刊,2017,44(1):94-96.
[5]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.
[6]宋冰,张文婧,李东印,等.经肛门肠梗阻导管联合腹腔镜手术治疗左半梗阻性结直肠癌的效果研究[J].中国急救医学,2016,36(z11):110-111.
[7]柯海林,池畔.左半结肠癌性肠梗阻的治疗进展[J].中华消化外科杂志,2015,14(6):517-520.
[2]矫秀妍.经肛型肠梗阻减压导管在急性左半结肠恶性梗阻中应用的术后护理体会[J].中国实用护理杂志,2016,32(12):912-914.
[3]郭永团,杜洪涛.经肛型肠梗阻导管置入联合外科手术治疗急性左半结直肠恶性梗阻[J].中国介入影像与治疗学,2018,15(9):577-578.
[4]吴妍.经肛型肠梗阻导管置入术后限期手术治疗急性梗阻性左半结直肠癌的效果观察[J].中国实用医刊,2017,44(1):94-96.
[5]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.
[6]宋冰,张文婧,李东印,等.经肛门肠梗阻导管联合腹腔镜手术治疗左半梗阻性结直肠癌的效果研究[J].中国急救医学,2016,36(z11):110-111.
[7]柯海林,池畔.左半结肠癌性肠梗阻的治疗进展[J].中华消化外科杂志,2015,14(6):517-520.