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恶性肠梗阻的最新进展:新旧技术的交汇点

Recent advances in malignant bowel obstruction: an interface of old and new.

作者信息

Potluri Vinaya, Zhukovsky Donna S

机构信息

Department of Palliative Care and Rehabilitation Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Box 8, Houston, TX 77030, USA.

出版信息

Curr Pain Headache Rep. 2003 Aug;7(4):270-8. doi: 10.1007/s11916-003-0047-8.

DOI:10.1007/s11916-003-0047-8
PMID:12828876
Abstract

Malignant bowel obstruction continues to be a difficult problem for patients with abdominal and pelvic primary tumors and tumors originating in other sites. The main treatment options consist of surgery, stenting, and pharmacotherapy. Despite recent advances, the impact of available treatment modalities on symptom control, longevity, quality of life, and associated health care costs have not been evaluated rigorously. This article reviews the available data and suggests an approach to the management of this challenging patient population.

摘要

恶性肠梗阻对于患有腹部和盆腔原发性肿瘤以及其他部位起源肿瘤的患者来说,仍然是一个难题。主要的治疗选择包括手术、支架置入和药物治疗。尽管最近有了进展,但现有治疗方式对症状控制、生存期、生活质量以及相关医疗保健费用的影响尚未得到严格评估。本文回顾了现有数据,并提出了一种针对这一具有挑战性患者群体的管理方法。

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本文引用的文献

1
Palliative venting gastrostomy in malignant intestinal obstruction.恶性肠梗阻的姑息性胃造口排气术
Palliat Med. 2002 Nov;16(6):520-6. doi: 10.1191/0269216302pm590oa.
2
Stents in the small intestine.小肠支架
Curr Gastroenterol Rep. 2002 Oct;4(5):383-91. doi: 10.1007/s11894-002-0008-0.
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Systematic review of the efficacy and safety of colorectal stents.结直肠支架疗效与安全性的系统评价
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Imaging bowel obstruction: a comparison between fast magnetic resonance imaging and helical computed tomography.
Clin Radiol. 2002 Aug;57(8):719-24. doi: 10.1053/crad.2001.0735.
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Comparison of octreotide administration vs conservative treatment in the management of inoperable bowel obstruction in patients with far advanced cancer: a randomized, double- blind, controlled clinical trial.奥曲肽给药与保守治疗对晚期癌症患者不可手术性肠梗阻的疗效比较:一项随机、双盲、对照临床试验
Anticancer Res. 2002 Mar-Apr;22(2B):1187-92.
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Placement of self-expanding metal stents for acute malignant large-bowel obstruction: a collective review.
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7
Self-expandable stent before elective surgery vs. emergency surgery for the treatment of malignant colorectal obstructions: comparison of primary anastomosis and morbidity rates.择期手术前采用自膨式支架与急诊手术治疗恶性大肠梗阻的比较:一期吻合率和发病率对比
Dis Colon Rectum. 2002 Mar;45(3):401-6. doi: 10.1007/s10350-004-6190-4.
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Radiological palliation of malignant colonic obstruction.恶性结肠梗阻的放射治疗缓解
Clin Radiol. 2002 May;57(5):347-51. doi: 10.1053/crad.2001.0844.
9
The role of somatostatin and octreotide in bowel obstruction: pre-clinical and clinical results.生长抑素和奥曲肽在肠梗阻中的作用:临床前和临床研究结果
Tumori. 2001 Jan-Feb;87(1):1-9. doi: 10.1177/030089160108700101.
10
Outcome of palliative operations for malignant bowel obstruction in patients with peritoneal carcinomatosis from nongynecological cancer.非妇科癌症所致腹膜癌病患者恶性肠梗阻姑息手术的结局
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