[1]母崇靖,徐晨昶,金一琦,等.自膨式金属支架置入后择期手术与急诊手术治疗左半结肠癌伴急性肠梗阻患者的疗效比较[J].介入放射学杂志,2023,32(11):1126-1130.
 MU Chongjing,XU Chenchang,JIN Yiqi,et al.Short-term results from colonic stenting as a bridge to selective surgery versus emergency surgery for obstructing left-sided colon cancer: a randomized controlled trial[J].journal interventional radiology,2023,32(11):1126-1130.
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自膨式金属支架置入后择期手术与急诊手术治疗左半结肠癌伴急性肠梗阻患者的疗效比较()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年11
页码:
1126-1130
栏目:
临床研究
出版日期:
2023-11-30

文章信息/Info

Title:
Short-term results from colonic stenting as a bridge to selective surgery versus emergency surgery for obstructing left-sided colon cancer: a randomized controlled trial
作者:
母崇靖 徐晨昶 金一琦 缪冬鏐 朱志刚 陈 磊
Author(s):
MU Chongjing XU Chenchang JIN Yiqi MIAO Dongliu ZHU Zhigang CHEN Lei.
The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu Province 215000, China
关键词:
【关键词】 结肠癌 左半结肠癌伴急性肠梗阻 自膨式金属支架 急诊手术
文献标志码:
A
摘要:
【摘要】 目的 比较自膨式金属支架(self- expanding metal stent,SEMS)置入与急诊手术(emergency surgery, ES)治疗左半结肠癌伴急性肠梗阻的临床疗效。方法 前瞻性收集2020年12月至2022年10月期间在南京医科大学附属苏州医院就诊的左半结肠癌伴急性肠梗阻患者的临床资料。使用随机数表法1∶1分配至SEMS组和ES组,主要结局指标为造口率和腹腔镜手术率。结果 最终纳入分析的SEMS组18例,ES组20例。SEMS组有更低的造口率(16.7% vs. 65.0%,P=0.004),更多的淋巴结清扫数(18.28 vs. 13.25,P=0.01)。SEMS组接受腹腔镜手术的患者比例显着高于ES组(66.7% vs. 10.0%,P=0.001)。SEMS组的术后并发症发生率低于ES组(22.2% vs. 40.0%,P= 0.025)。结论 与ES相比,SEMS置入在治疗左半结肠癌伴急性肠梗阻的手术短期结果方面具有明显优势:更低的造口率,更少的术后并发症,更高的微创手术率,更符合现代微创外科及加速康复理念。

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备注/Memo

备注/Memo:
(收稿日期:2022- 09- 28)
(本文编辑:茹 实)
更新日期/Last Update: 2023-11-30