行无痛纤维结肠镜检查术致肠穿孔的危险因素及相应预防措施的分析  

Analysis the risk factors and preventive measures of bowel perforation caused by painless colonoscopy

作　　者：陈普安 

机构地区：[1]商丘市第一人民医院结肠镜室,河南商丘476100

出　　处：《临床医药文献电子杂志》2015年第1期3-4,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的通过临床多病例研究,找出无痛纤维结肠镜术中致肠穿孔的主要危险因素,为临床预防此种并发症找准方向。方法临床选取近年间行无痛结肠镜伴发肠穿孔的病患15例,对其进行危险因素的综合研究和探讨,并在得出的多种危险因素的基础上进行进一步分析,最终得出行无痛纤维结肠镜检查术中致肠穿孔的综合预防措施。结果病人术前准备肠道清洁不充分、伴发有致肠壁薄弱的疾病(溃疡、憩室、肿瘤等)或结肠镜室操作人员技术不过关等为无痛结肠镜术中致肠穿孔的主要危险因素。结论术前完备肠道准备,认真了解病患身体各系统异常情况,尽可能减少由受检者肠道存在的伴发疾病所致肠穿孔,医务人员有责任进一步完善自己的操作技术和丰富临床操作经验,以期以此降低临床无痛纤维结肠镜检查术中肠穿孔的并发率。Objective To find out the main dangerous factors of intestinal perforation in the painless colonoscopy process. Methods Select 15 clinical patients,to which we do comprehensive research of risk factors on intestinal perforation,and then we get comprehensive preventive measures of intestinal perforation based on the risk factors we have got. Results The main risk factors which lead to intestinal perforation are the preoperative intestinal cleaning of Patients is not sufficient and the patients have the diseases（Ulcer,the diverticulum and tumor etc.） which caused the intestinal wall weakness or the technology of the operating personnel in colonoscopy room is not enough good. Conclusion To reduce the rate of intestinal perforation , we should improve the bowel preparation and give a careful check to the patients and as far as possible to reduce the intestinal perforation which caused by intestinal wall weakness and improve our operation technology and rich our clinical experiences of painless colonoscopy.

关 键 词：无痛纤维结肠镜 肠穿孔 不利因素预防措施 

分 类 号：R443.7[医药卫生—诊断学]