金属钛夹在结肠息肉高频电切除术中的应用  

Application of metal titanium clips in the resection of colon via high-frequency electrocogulation

作　　者：肖龙[1] 陆志平[1] 曾远程[1] 赵毅[1] 

机构地区：[1]江苏省常熟市第二人民医院消化内科,江苏常熟215500

出　　处：《实用临床医药杂志》2012年第19期64-65,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨金属钛夹在结肠息肉高频电切除术中的使用治疗效果。方法本院收治的140例结肠息肉患者随机分为无钛夹组80例和钛夹组60例。钛夹组应用钛夹结合电凝电切术切除结肠息肉,无钛夹组仅应用电凝电切术。观察2组患者的术中、术后出血等并发症发生情况。结果 2组患者手术过程均顺利,平均手术时间12 min,无肽夹组术后发生结肠穿孔1例、迟发性出血4例;肽夹组无术后穿孔及迟发性出血发生。结论在内镜下电切结肠息肉的治疗中,金属钛夹可以起到迅速止血和预防再出血、穿孔等并发症的作用。Objective To explore the therapeutic effect of metal titanium clips in the resec- tion of colon polyps via high-frequency electrocogulation. Methods A total of 140 colonic polyps pa- tients were randomly divided into non-titanium group （n = 80） and titanium group （n = 60）. Tita- nium group received titanium clips combined with high-frequency electrosurgical resection in curing colonic polyps. Non-titanium group only received high-frequency electrosurgical resection. The com- plications including intraoperative and postoperative haemorrhage were observed. Results Surgeries of both groups were smooth with an average duration of 12 minutes. There was 1 case of intestinal perforation and 4 cases of delayed haemorrhage in non-titanium group. There was no case of intesti- nal perforation and delayed haemorrhage in titanium group. Conclusion The therapy that endo- scopic high-frequency electrocogulation of colon polyps, metal titanium clips can effectively stop the recurrence of haemorrhage and perforation in the resection of colon polyps via high-frequency elec- trocogulation.

关 键 词：金属钛夹 结肠息肉 高频电切除术 

分 类 号：R574.62[医药卫生—消化系统]