摘要
目的探讨电子结肠镜在急性肠梗阻诊治中的应用价值,评价其可行性和临床疗效。方法在X线辅助下,经内镜放置金属支架或肠梗阻导管治疗癌性梗阻46例,结肠扭转16例,8例回盲型肠套叠,粘连性肠梗阻2例,粪便嵌顿2例。结果 46例癌性肠梗阻患者中,35例放置金属支架,11例放置肠梗阻导管,术后8～10d,肠梗阻症状缓解,肠道准备后行肿瘤切除术,术后无感染及吻合口漏等病发症发生,平均随访时间24个月。16例乙状结肠扭转,8例回盲型肠套叠均为内镜成功复位。其他病例均行保守治疗。结论电子结肠镜运用于急性肠梗阻诊治中,是安全可行的,可明确梗阻的部位和性质,提供合理的治疗手段。
Objective To investigate the value of electronic colonscope in the acute obstruction of colon and to evaluate the feasibility and clinical value of electronic colonscope.Methods？46 cases with acute colorectal obstruction were treated with the aid of fluoroscopy.16 cases of colonic torsion.8 cases of intussusception.2 cases of adhesive ileus and 2 cases of fecal impaction.Results？In 35 of 46 acute colonic obstruction patients,mental stents were inserted,the left colorectal tube were inserted.underwent subsequent elective surgical resection after 8～10 days without complications,such as anastomotic leakage and intraperioneal infection.Mean follow-up period was 24 months.16 cases of colonic toresion and 8 cases of intussuception were repositioned with electonic colonscope.The left were treated conservatively.Conclusion？It is a safe examination and treatment for emergency electronic colonscope to colonic obstruction.It can identify the position and cause and to offer reasonable treatment.
出处
《中国医药指南》
2011年第17期33-34,共2页
Guide of China Medicine
关键词
急性肠梗阻
结肠镜
诊治
Acute colonic obstruction
Electronic colonscope
Dignosis and treatment
