The Clinical Study About Colonoscopic Metal Stenting And Ileus Tube Catheterization In The Therapy For Distal Colorectal Cancer Of Splenic Flexure With Acute Obstruction

Objective In recent years, Studies about colonoscopy metal stent and anal ileus tube placement in the treatment of pationts with acute obstruction because of left colorectal cancer are the current hot spots. However,how to Select either of the two programmes for individual treatment, there is little literature reports.To discuss the clinical efficacy between colonoscopic metal stenting and ileus tube catheterization in the therapy for left colorectal cancer with acute obstruction. Methods Clinical data of64cases applied metal stents and ileus tube to treat with left colonic cancer of our hospital from January.2012to june,2013was retrospectively analyzed.The64cases who met the diagnostic criteria were devided into metal stent group (28cases) and ileus tube group (36cases). The two groups were carried on by colonoscopy and X-line. The metal stent group were treated by metal stent and the ileus tube group were treated by ileus tube. After obstruction disappear, two treatment groups were all implemented colorectal cancer radicalresection and anastomosis.To compare the technical operation, improvement of obstruction and effect of surgical treatment. Results Technical comparison in two groups, The success rate of the metal stent group was89.3%, the success rate of ileus tube group was100%, P<0.05. The operation time and cost of metal stent group were more than ileus tube group. Obstruction relief in two groups, Obstruction of remission rate of metal stent group was100%,the other group was94.4%, P>0.05,while2cases in ileus tube group were emergency operated because of failure of obstruction relief.Besides, the difference between c-reactive protein of metal stent group were superior to ileus tube group. After obstruction disappear, two treatment groups were all implemented colorectal cancer radicalresection and anastomosis, both of two groups did not appear anastomotic leakage,and there were not difference in operative time, infection rate and hospitalization time. Conclusion Both of two methods can treat with left colonic cancer effectively,be implemented colorectal cancer radicalresection and anastomosis,and reduce the incidence of perioperative complications.But in Health Economics,the ileus tube is better.