医源性结肠镜肠穿孔16例诊治分析  

An Analysis on the Diagnosis and Treatment of Iatrogenic Colonoscopic Perforation of 16 Cases

作　　者：王伟伟[1] 韩恩崑[1] 张建生[1] 吴会国[1] 何志国[1] 冯福梅 吕海涛[1] WANG Wei-wei;HAN En-kun;ZHANG Jian-sheng;WU Hui-guo;HE Zhi-guo;FNEG Fu-mei;LUHai-tao(Baodi Clinical School of Tianjin Med.University/Baodi Districts'People's Hospital,Tianjin 301800)

机构地区：[1]天津医科大学宝坻临床学院/天津市宝坻区人民医院,天津301800

出　　处：《中国肛肠病杂志》2020年第6期15-16,共2页Chinese Journal of Coloproctology

摘　　要：为探讨医源性结肠镜肠穿孔(ICP)好发部位及治疗方式,回顾性分析本院16例ICP患者病例资料及治疗方式。结果显示,诊断性结肠镜肠穿孔7例,其中4例在乙状结肠;治疗性结肠镜肠穿孔9例,其中6例在右半结肠。16例肠穿孔中术中诊断5例,6h内诊断2例,均行结肠镜下治疗痊愈。结果表明,诊断性结肠镜肠穿孔好发部位在乙状结肠,治疗性结肠镜肠穿孔好发部位在右半结肠。术中诊断ICP或6h内诊断ICP,行结肠镜下金属夹缝合术,可避免中转手术带来的二次创伤。In order to explore the susceptible site of iatrogenic colonoscopic perforation(ICP)and treatment method for it,authors reviewed and analysed 16 ICP patients’data and therapies.As results,among the 16 cases 7 due to colonoscopy(4 cases’s perforation at sigmoid),9 due to colonoscopic treatment(6 cases’perforation at right-side colon);in the 16 cases 5 were diagnosed out intraoperatively(2 cases diagnosed out within 6 hrs),then they all were cured through colonoscopic treatment.Results show that the susceptible sites of diagnostic perforation are located at sigmoid,meanwhile,the treated ones at right-side colon,for whom intraoperatively diagnosed out or whom diagnosed out within 6 hrs implementing metallic clip suture for ICP lesion could avoid trauma from conversed to secondary procedure.

关 键 词：医源性结肠镜肠穿孔 诊断 治疗 病例分析 

分 类 号：R656.9[医药卫生—外科学]