OTSC夹闭系统在消化道穿孔关闭技术中的初步应用（含视频）  

The application of OTSC clamping system to perforation closure of gastrointestinal tract （ with video）

作　　者：郭花[1] 王昕[1] 王晓伟[1] 李爱琴[1] 余东亮[1] 谢惠[1] 汤姗[1] 盛剑秋[1] 

机构地区：[1]北京军区总医院消化内科,北京100700

出　　处：《中华消化内镜杂志》2015年第10期670-672,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的探讨OTSC夹闭系统在消化道穿孔关闭技术中的应用及疗效。方法利用配套的抓持钳将穿孔部位组织拉人透明帽，再通过释放耙状夹对21例消化道穿孔或消化道瘘患者行OTSC闭合术。结果OTSC成功闭合食管气管瘘1例，食管穿孔l例，胃穿孔12例，十二指肠球穿孔2例，回盲部穿孔1例，结肠穿孔1例，直肠穿孔3例。其中医源性穿孔19例，慢性穿孔2例。闭合穿孔直径0．3～4．0cm，平均直径（1．6±0．8）cm。无术中出血及迟发性出血，无死亡病例。结论对于消化道穿孔OTSC夹闭系统是值得临床推荐的一种安全、有效的新技术。Objective To investigate the application and therapeutic effects of OTSC clamping sys- tem on perforation closure of gastrointestinal tract. Methods A total of 21 cases of gastrointestinal perfora- tion or digestive tract fistula patients underwent OTSC closure. The perforation tissue was drawn into the transparent cap with grasping forceps, and then the rake holder was released. Results OTSC was success- fully performed in 1case of tracheoesophageal fistula, 1 case of esophageal perforation, 12 cases of gastric perforation, 2 cases of duodenal perforation, 1 case of ileocecal valve perforation, 1 case of colon perfora- tion, 3 cases of rectum perforation. Nineteen cases of perforation were iatrogenie and 2 chronic perforation. The diameter of perforation was 0. 3-4. 0 cm, with mean diameter being （ 1.6±0. 8 ） cm. No intraoperative hemorrhage, delayed bleeding or deaths occurred. Conclusion OTSC clamping system is safe, effective new technology and worth clinical recommendation to gastrointestinal perforation or fistula.

关 键 词：内窥镜检查 肠穿孔 伤口闭合技术 

分 类 号：R656[医药卫生—外科学]