摘要
目的分析经肛型肠梗阻导管置入联合限期手术治疗结直肠癌伴肠梗阻患者的临床价值。方法在本院接受治疗的结直肠癌伴肠梗阻患者40例,随机分为单纯接受手术治疗的对照组及接受手术联合经肛型肠梗阻导管置入的观察组,比较其肛管引流相关情况、内毒素及肿瘤坏死因子水平、术后并发症发生情况等差异。结果 1观察组患者接受治疗后,其腹围、胃管引流量及近端肠管最大横截均明显小于接受常规术前准备的对照组患者(P<0.05);2观察组患者术后4d及7d的内毒素及肿瘤坏死因子水平均显著低于对照组患者(P<0.05);3观察组患者术后各项并发症发生率均明显低于对照组(P<0.05)。结论经肛型肠梗阻导管置入联合限期手术可以有效解除直肠癌伴肠梗阻患者的梗阻症状,降低术后内毒素及肿瘤坏死因子水平,减少术后并发症发生。
Objective To analyze the effect oftransanal ileus tube combined with semi-elective surgery treatment on colorectal cancer patients with intestinal obstruction.Methods Chosen patients in our hospital with colorectal cancer were selected as research subjects,and randomly divided into control group received surgery alone and observation group received anal obstruction catheter combined with semi-elective surgery.The operation related indicators,endotoxin and tumor necrosis factor levels,postoperative complications were compared.Results The abdominal circumference,tube drainage and proximal intestine in the observation group were significantly less than the control group（P〈0.05）.The endotoxin and tumor necrosis factor in the observation group were significantly lower than the control group patients（P〈0.05）.The postoperative complications in the observation group were significantly lower than those in the control group patients（P〈0.05）.Conclusion The placed transanal ileus tube in semi-elective surgery can effectively relieve colorectal cancer patients with intestinal obstruction symptoms and reduce postoperative endotoxin,tumor necrosis factor levels and postoperative complications,with a positive clinical significance.
出处
《结直肠肛门外科》
2015年第2期119-122,共4页
Journal of Colorectal & Anal Surgery
关键词
结直肠癌
肠梗阻
并发症
导管置入
Colon and colorectal cancer
Intestinal obstruction
Anastomotic leak
