DSA下支架置入对于右半结肠癌性梗阻的疗效与价值

发布时间：2018-08-28 20:39

【摘要】：目的探讨数字减影造影(DSA)下结肠支架置入对于右半结肠癌性梗阻的疗效与安全性,并与左半结肠癌性梗阻支架置入进行对比分析。方法搜集2010年1月2014年12月郑州大学第一附属医院收治的24例右半结肠癌性梗阻行支架置入的临床资料,并与同期收治的36例左半结肠癌性梗阻行支架置入的病例进行对比分析。主要指标包括技术成功率、临床疗效及并发症发生率。结果右半结肠支架置入的技术成功率为83.3%(20/24),左半结肠为94.4%(34/36)。20例右半结肠成功置入支架的患者中,临床有效率为95.0%(19/20);34例左半结肠成功置入支架的患者中,临床有效率为91.2%(31/34)。右半结肠支架置入的患者中,并发症发生率为16.7%(4/24),1例发生肠道穿孔,2例出现血便,1例出现支架再狭窄;左半结肠并发症发生率为22.2%(8/36),1例支架移位,3例支架再狭窄,2例出现血便,2例出现腹痛、腹部不适。结论右半结肠支架置入的技术成功率低于左半结肠,对于成功置入支架的患者,二者临床有效率和并发症发生率无明显差别。
[Abstract]:Objective to evaluate the efficacy and safety of colon stent implantation under digital subtraction angiography (DSA) in the treatment of right colon cancer obstruction and to compare it with that of left colon cancer obstruction. Methods the clinical data of 24 patients with right colon cancer obstruction treated in the first affiliated Hospital of Zhengzhou University in December, 2010 were collected. The results were compared with 36 cases of left colon cancer obstruction treated by stent implantation. The main indicators include technical success rate, clinical efficacy and incidence of complications. Results the technical success rate of right hemicolon stent implantation was 83.3% (20 / 24), and that of left colon was 94.4% (34 / 36). The clinical effective rate was 95.0% (19 / 20) and 31.2% (31 / 34) respectively. In the patients with right hemicolon stent implantation, the incidence of complications was 16.7% (4 / 24), 1 case had intestinal perforation and 2 cases had blood stool and 1 case had stent restenosis. The incidence of left hemicolon complications was 22. 2% (8 / 36) and 1 stent transposition 3 stent restenosis 2 blood stool 2 abdominal pain and abdominal discomfort. Conclusion the successful rate of right hemicolon stent implantation is lower than that of left colon. There is no significant difference in the clinical effective rate and complication rate between the two groups.
【作者单位】：郑州大学第一附属医院介入科;
【分类号】：R735.35

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