| 经肛型肠梗阻导管在结直肠恶性梗阻中的应用 |
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| 引用本文： | 谭志军,谷川,丁文涛,靳燕宇,姜伟.经肛型肠梗阻导管在结直肠恶性梗阻中的应用[J].中国现代普通外科进展,2011,14(4):289-291,324. |
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| 作者姓名： | 谭志军 谷川 丁文涛 靳燕宇 姜伟 |
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| 作者单位： | 天津市第一中心医院,普通外科,天津,300192 |
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| 摘 要： | 目的：探讨经肛型肠梗阻减压导管在结直肠恶性梗阻治疗中的应用价值。方法：应用经肛型肠梗阻导管对30例结肠癌伴肠梗阻患者行导管置入术,冲洗引流4～10 d后手术。结果：28例成功置入导管,成功率93.3%;2例因导丝无法通过狭窄部位,而转行急诊手术。成功的28例患者导管减压引流时间为4～10 d,平均（5.8±1.6）d。置入导管后（3.8±1.3）d患者腹痛、腹胀症状明显减轻。与入院时腹围（92.1±7.4）cm相比,手术时腹围缩小至（83.9±5.8）cm（P=0.013）。减压后96.4%（27/28）的患者行一期切除吻合,术后无吻合口瘘发生。结论：经肛型肠梗阻减压导管治疗结直肠恶性梗阻是安全、有效的,可作为治疗结直肠恶性梗阻的首选措施。
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| 关 键 词： | 结直肠肿瘤 肠梗阻 导管引流 |
Application of transanal ileus tube in treating acute lower colorectal obstruction |
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| TAN Zhi-jun,GU Chuan,DING Wen-tao,JIN Yan-yu,JIANG Wei.Application of transanal ileus tube in treating acute lower colorectal obstruction[J].Chinese Journal of Current Advances in General Surgery,2011,14(4):289-291,324. |
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| Authors: | TAN Zhi-jun GU Chuan DING Wen-tao JIN Yan-yu JIANG Wei |
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| Institution: | TAN Zhi-jun,GU Chuan,DING Wen-tao,JIN Yan-yu,JIANG Wei Department of General Surgery,Tianjin First Central Hospital(Tianjin 300192,China) |
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| Abstract: | Objective: To investigate the safety and efficacy of transanal drainage tube in management of acute colorectal malignant obstruction before surgery.Methods: March 2006 to December 2009,30 patients with acute colorectal malignant obstruction due to colerectal cancer were treated by ileus tube drainage.After 4 to 10 days,the radical operations were performed.Results: The drainage tubes were successfully implanted in 28 patients,and the success rate was 93.3%.Two cases were received emergency surgery,because t... |
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| Keywords: | Colorectal neoplasms·Intestinal obstruction·Tube drainage |
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