经内镜钛夹封闭治疗胃、十二指肠急性穿孔  

Endoscopic clipping in the treatment of acute gastroduodenal perforation

作　　者：黄勋[1] 朱惠明[1] 王立生[1] 师瑞月[1] 

机构地区：[1]暨南大学医学院附属深圳市人民医院消化内科

出　　处：《中华消化内镜杂志》2004年第3期169-170,共2页Chinese Journal of Digestive Endoscopy

摘　　要：目的 探讨经内镜钛夹封闭对胃、十二指肠急性穿孔治疗的价值。方法 对22例消化性溃疡导致或内镜诊治时出现的胃、十二指肠急性穿孔患者进行内镜下钛夹封闭治疗。结果 内镜下钛夹封闭成功19例(86.4％),其中一次封闭成功14例(73.7％),24 h后内镜复查补充封闭5例(26.3％)。封闭失败转外科手术治疗3例。内镜下钛夹封闭效果与胃、十二指肠穿孔部位、原因及大小有关。结论 内镜下钛夹封闭是治疗消化性溃疡导致或内镜诊治出现的胃、十二指肠急性穿孔的有效方法。Objective To investigate endoscopic clipping in treating acute gastroduodenal perforation. Methods Endoscopic clipping was carried out in 22 patients with acute gastroduodenal perforation as the complication of peptic ulcer or endoscopy. Results The clipping was successful in 19(86. 4% ) of 22 patients with acute gastro duodenal perforation, and surgical therapy was performed in 3(13. 6% ) of 22 cases. A single clipping was performed in 14(73. 7% ) of 19 patients resulted in satisfactory closure of perforation. An additional clipping was needed in 5(26. 3% ) patients 24 h after the first endoscopes procedure. The effectiveness of endoscopic clipping was related to location, cause and size of the perforation. Conclusion Endoscopic clipping is an effective method for acute gastroduodenal perforation as the complication of peptic ulcer or endoscopy.

关 键 词：内镜 钛夹 封闭治疗 胃急性穿孔 十二指肠急性穿孔 

分 类 号：R656.6[医药卫生—外科学]