肠梗阻行肠镜检查指征与操作技巧  

Indication and operation skills of colonoscopy for bowel obstruction

作　　者：隋金珂 张卫 SUI Jin-he;ZHANG Wei(Department of Colorectal Surgery,Changhai Hospital,Navy Military Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学附属长海医院肛肠外科

出　　处：《中国实用外科杂志》2019年第12期1276-1278,共3页Chinese Journal of Practical Surgery

基　　金：上海市市级医院新兴前沿技术联合攻关项目(No.SHDC12016122);上海市科委医学引导项目(No.134119a3800)

摘　　要：肠梗阻作为普外科主要急腹症之一,目前治疗虽然有了很大的进步,但仍然是医生在处理中感到棘手的问题,关键在于明确梗阻原因、治疗方式的确定及手术时机的选择。随着技术及设备的进步,肠镜检查从肠梗阻时的禁忌证到目前已经越来越多地应用于肠梗阻地诊断和治疗,成为判断病情、指导和实施治疗的重要手段。但肠梗阻病人的急诊肠镜检查有其特殊性,不同于择期肠镜检查,从检查前的肠道准备(如不能服用泻剂,并要尽可能地做到简单和有效),到梗阻病人的肠镜检查操作,应根据其梗阻原因和梗阻位置的不同,所采取肠镜检查的方案和技巧也各有不同。As one of the major acute abdomen in general surgery,the treatment of bowel obstruction has made great progress at present,but it is still a difficult problem for doctors to deal with.The key question is to make clear the cause of obstruction,the choice of treatment method and operation time.With the progress of technology and equipment,colonoscopy has been applied more and more to the diagnosis and treatment of intestinal obstruction from the contraindications of bowel obstruction to the present,and become an important means to judge the state of illness,guide and implement treatment.However,the emergency colonoscopy for patients with bowel obstruction has its own particularity,which is different from the selective colonoscopy.From the preparation of tract before examination,such as not taking cathartic,and trying to be as simple and effective as possible,to the colonoscopy for patients with bowel obstruction,surgeons should take different schemes and skills according to the different causes and positions of obstruction.

关 键 词：肠梗阻 结肠镜检查 适应证 操作技巧 

分 类 号：R6[医药卫生—外科学]