Abstract:Objective To explore the application effect of intestinal metal stent in the patients with left hemicolon carcinoma complicated with obstruction under colonoscopy.Methods 15 patients with left hemicolon carcinoma complicated with obstruction who were admitted to our hospital from March 2015 to March 2016 were selected as observation group.They were given intestinal metal stent under colonoscopy to alleviate obstruction,and they were further given surgery to remove the tumor.Another 15 patients with left hemicolon carcinoma complicated with obstruction who were admitted to our hospital from January 2014 to December 2014 were selected as control group. They were given colostomy to alleviate obstruction,and they were further given surgery to remove tumor.The surgical effects were observed in both groups.Results After implantation of metal stent,abdominal girth,gastrointestinal decompression volume,and maximum transverse diameter of proximal colon in observation group were respectively reduced compared with that before the surgery(P<0.01);abdominal pain,abdominal distention and other symptoms in observation group were all significantly reduced,recovery time of borborygmus was (3.3±0.6)d,and the complete remission time of intestinal obstruction was (8.6±0.3)d.All the patients were given laparotomy,and dilation or edema was not observed in the intestines during the surgery.No significant feces were observed in the intestinal tract. Postoperative anastomotic fistula and incision infection were not observed in the patients,who were recovered after phaseⅠconservative treatment of resection and anastomosis;Postoperative anastomotic fistula and other complications were not observed in the observation group.The incidence rate of anastomotic fistula in the control group was 20.0%,and the incidence rate of complications was 33.3%.The observation group was significantly lower than the control group with statistical difference(P<0.05).Expense of hospitalization in the observation group was(14 963.9±1563.7)yuan,and the length of stay was(17.9±2.2)d.Expense of hospitalization in the control group was(29 613.7±3697.2)yuan,and the length of stay was (31.6±5.9)d.In the comparison between groups,it has statistical difference(P<0.01).Conclusion Surgery after removal of obstruction by intestinal metal stent under colonoscopy is able to achieve phaseⅠ resection,and reduce the incidence rate of anastomotic fistula and complications,which is helpful for alleviating patients′economic burden.
刘雪. 结肠镜下肠道金属支架在左半结肠癌伴梗阻患者中的应用效果[J]. 中国当代医药, 2016, 23(22): 109-111.
LIU Xue. Application effect of intestinal metal stent in the patients with left hemicolon carcinoma complicated with obstruction under colonoscopy. 中国当代医药, 2016, 23(22): 109-111.