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目的探讨结肠内支架治疗直肠癌、乙状结肠癌梗阻的疗效和意义。方法自2001年1月至2005年12月,共收治22例左侧大肠癌梗阻的患者,在内镜及X线辅助下进行了结肠内支架治疗。结果22例患者结肠内支架置入均获成功,无一例发生肠穿孔、大出血。10例出现骶尾部疼痛,5例有少量血便,支架脱落2例。结论结肠内支架治疗作为直肠癌、乙状结肠癌术前梗阻解除或晚期复发肿瘤的姑息治疗均能达到梗阻解除、避免肠造瘘术、改善患者生活质量的效果。
Objective To investigate the efficacy and significance of colonic stent in the treatment of colorectal cancer and sigmoid colon obstruction. Methods From January 2001 to December 2005, a total of 22 patients with obstruction of the left colorectal cancer were enrolled. Endoscopic and X-ray assisted intracolonic stenting was performed. Results Twenty-two patients were successfully treated with colon stent implantation. No bowel perforation and hemorrhage occurred. There were 10 cases of sacrococcygeal pain, 5 cases of a small amount of bloody stool, scaffolds in 2 cases. Conclusion Colonic stent treatment as a rectal cancer, sigmoid colon cancer patients with preoperative obstruction or advanced recurrent palliative treatment can achieve the obstruction, to avoid enterostomy, improve the quality of life of patients.