结肠支撑架的主要适应症是（1）缓解不可切除的结肠癌导致的肠梗阻症状[2~4,7] （2）作为外科一期结肠癌切除的过渡，避免急诊手术或结肠造瘘后二期外科切除和造瘘口的还纳[5，6，8] 但长期结果和并发症发生的危险因素，资料有限。 仍然有人报告将结肠支撑架用于良性结肠狭窄病变[1]。 1. Keränen I, Lepistö A, Udd M, Halttunen J, Kylänpää L. Outcome of patients after endoluminal stent placement for benign colorectal obstruction. Scand J Gastroenterol. 2010 Jun;45(6):725-31. 2, Khot UP, Lang AW, Murali K, Parker MC. Systematic review of the efficacy and safety of colorectal stents. Br J Surg 2002;89:1096–102. 3. Sebastian S, Johnston S, Geoghegan T, Torreggiani W, Buckley M. Pooled analysis of the efficacy and safety of self-expanding metal stenting in malignant colorectal obstruction. Am J Gastroenterol 2004;99:2051–7. 4. Watt AM, Faragher IG, Griffin TT, Rieger NA, Maddern GJ. Self-expanding metallic stents for relieving malignant colorectal obstruction: a systematic review. Ann Surg 2007;246:24–30. 5. Ptok H, Marusch F, Steinert R, Meyer L, Lippert H, Gastinger I. Incurable stenosing colorectal carcinoma: endoscopic stent implantation or palliative surgery? World J Surg 2006;30:1481–7. 7. et al. Transanal self-expanding metal stents as an alternative to palliative colostomy in selected patients with malignant obstruction of the left colon. Br J Surg 1998; 85: 232–5 8. . New procedure for the treatment of colorectal neoplastic obstructions. Dis Colon Rectum 1994; 37: 1158–9 |