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目的:评价肠道支架在治疗结直肠癌并急性肠梗阻中的安全性、有效性及临床应用价值.方法:收集南昌大学第一附属医院2010-01/2014-12因结直肠癌性梗阻就诊患者,共263例,在内镜下和/或X射线监测下引导行支架置入治疗,分析放置支架成功率,术后并发症发生率,症状缓解率,手术切除率等指标.结果:258例放置支架成功(98.1％);术后发并穿孔1.1％(3例),出血3.8％(10例)、发热4.6％(12例),其他如支架脱落及移位等3.0％(8例);症状缓解率:腹痛97.3％(256例),腹胀98.1％(258例),肛门排便98.1％(258例);手术切除率:60例为姑息性治疗,198例行于支架置入术后5-13 d后行肠道准备后手术治疗,143例行一期手术切除肿瘤.结论:内镜下肠道支架置入能很好地解除肠梗阻症状,其中急诊内镜下支架置入可作为术前过渡治疗,可以将急诊手术转为择期手术,二期手术转为一期手术,减轻临床医生的手术难度和风险、降低术后等并发症发生率,减轻患者痛苦,提高了患者生存质量,值得大力推广应用.“,”AIM: To evaluate the safety, efficacy and value of endoscopic intestinal stent placement in the treatment of colorectal cancer complicated with acute intestinal obstruction.METHODS: A total of 263 patients with colorectal cancer complicated with intestinal obstruction treated at our hospital from January 2010 to December 2014 were included.Stenting treatment was performed under endoscopy and (or) X-ray.The rate of success, the incidence of postoperative complications, the rate of symptom remission, the rate of surgical excision and other indicators were evaluated.RESULTS: Stent implantation was successful in 258 (98.1％) cases.The rates of adverse events were: perforation, 1.1％ (3 cases);hemorrhage, 3.8％ (10 cases);fever, 4.6％ (12 cases), and others such as stent dislocation and migration, 3.0％ (8 cases).The rates of symptom remission were: abdominal pain, 97.3％ (256 cases);abdominal distension, 97.3％ (258 cases);and anal dysfunction, 98.1％ (258 cases).The rates of surgical resection were: 60 cases for palliative treatment, 198 cases for surgical resection 5-13 d after stent implantation after intestinal preparation, and 143 cases for removal of the tumor by one-stage operation.CONCLUSION: The symptoms of intestinal obstruction can be relieved by endoscopic intestinal stenting.Emergency endoscopic stenting can be used as a bridge treatment before operation, and it can turn emergency operation to elective surgery, turn two-stage operation to one-stage operation, reduce the difficulty and risk of operation for clinicians, reduce the incidence of postoperative complications, relieve pain, and improve survival quality.