摘要
医源性消化道穿孔是内镜治疗的严重并发症之一。对于急性医源性穿孔,简单而快速的内镜治疗能避免传统开放性手术治疗带来的创伤,使手术最大限度地微创化。医源性消化道穿孔的内镜下闭合方法主要有金属夹闭合术、专用缝合器械缝合、覆膜支架封堵、可降解生物材料联合组织胶封堵以及内镜联合治疗如圈套联合金属夹等。本文就医源性消化道急性穿孔内镜处理的现状和研究进展作一综述。
Iatrogenic gastrointestinal perforation is one of the severe adverse events of endoscopic therapeutic procedure. For acute iatrogenic perforation,management by endoscopic techniques is a simple and rapid modality to close the perforation with minimal invasiveness and avoiding the traditional surgical trauma. Endoclips,suture with special instruments,covered stents,degradable sheets combined with tissue adhesive,and combined endoscopic techniques such as snares combined with endoclips,are the major endoscopic therapeutic modalities for closure of iatrogenic gastrointestinal perforation. In this article,the current status and progress of endoscopic management for acute iatrogenic gastrointestinal perforation were reviewed.
出处
《胃肠病学》
2016年第8期501-504,共4页
Chinese Journal of Gastroenterology
基金
南京军区医学科技创新项目(15ZD026)
关键词
穿孔
医原性疾病
闭合
金属夹
缝合技术
内镜治疗
Perforation
Iatrogenic Disease
Closure
Endoclip
Suture Techniques
Endoscopic Therapy
