结肠支架置入术：综述
Colon stenting: a review.
作者信息
de Gregorio Miguel Angel, Mainar Antonio, Rodriguez Juan, Alfonso Eduardo Ramon, Tejero Eloy, Herrera Marcos, Medrano Jokin, D'Agostino Horacio
机构信息
Professor.
出版信息
Semin Intervent Radiol. 2004 Sep;21(3):205-16. doi: 10.1055/s-2004-860941.
Up to 85% of patients who present with colonic obstruction have a colorectal cancer. Between 7% and 29% of these patients present with total or partial intestinal obstruction. Only 20% of these patients presenting with acute colonic obstruction due to malignancy survive 5 years. Emergent surgical intervention in patients with colonic obstruction is associated with significant morbidity and mortality rates. Only 40% of patients with obstructive carcinoma of the left colon can be treated with surgical resection without the need for a colostomy. The use of a temporary or permanent colostomy has a significant impact on quality of life. The decompressive effect seen with colonic stenting is a durable, simple, and effective palliative treatment of patients with advanced disease. Stent deployment provides an effective solution to acute colonic obstruction and allows surgical treatment of the patient in an elective and more favorable condition. In addition, colonic stenting reduces costs and avoids the need for a colostomy.
出现结肠梗阻的患者中，高达85%患有结直肠癌。这些患者中有7%至29%出现完全或部分肠梗阻。这些因恶性肿瘤导致急性结肠梗阻的患者中，只有20%能存活5年。对结肠梗阻患者进行紧急手术干预会带来显著的发病率和死亡率。只有40%的左半结肠癌梗阻患者可以接受无需结肠造口术的手术切除治疗。使用临时或永久性结肠造口术对生活质量有重大影响。结肠支架置入术的减压效果是对晚期疾病患者一种持久、简单且有效的姑息治疗。支架置入为急性结肠梗阻提供了有效的解决方案，并使患者能够在择期且更有利的条件下接受手术治疗。此外，结肠支架置入术降低了成本，避免了结肠造口术的需要。
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