支架或导管缓解恶性大肠梗阻的临床疗效对比研究

摘要

目的:研究支架或导管缓解恶性大肠梗阻的临床疗效.方法:分析72例恶性大肠梗阻患者的临床资料.随机将入选者分成S组(自膨式金属支架置入内镜架桥治疗,SEMS)和T组(经肛肠梗阻导置入内镜架桥治疗管,TDT),每组36例,比较两组患者的临床疗效.结果:T组与S组大肠梗阻缓解率分别为97.2%、94.4%.T组恢复口服营养补充(oral nutri-tional supplements,ONS)时间明显低于S组,卡氏功能状态量表(Karnofsky performance status,KPS)评分明显高于S组(P<0.01).结论:SEMS与TDT在恶性大肠梗阻患者中均具有良好的临床疗效,其中TDT患者恢复ONS更快,功能状况恢复情况更优秀.%Objective:To analyze the clinical efficacy of self-expanding metallic stent (SEMS) and transanal drainage tube (TDT) in the treatment of malignant large-bowel obstruction.Methods:Clinical data of 72 patients with malignant large-bowel obstruc-tion was retrospectively analyzed.All patients were randomly divided into two groups,group S (SEMS training) and group T (TDT training),36 cases in each group.The clinical efficacy in two groups were compared.Results:The clinical success rate in group T was 97.2%,which in group S was 94.4%.The timing of resuming to oral nutritional supplements (ONS) in group T was obviously lower than that in group S,and the Karnofsky performance status (KPS) score in group T was obviously higher than that in group S (P<0.01).Conclusion:Both SEMS and TDT have good clinical efficacy in treating the patients with malignant large-bowel obstruction. However,patients with TDT placement is associated with earlier ONS and is more obvious functional status.