结直肠内镜黏膜下剥离术并发症的研究进展  

Research progress on complications of colorectal endoscopic submucosal dissection

作　　者：任鹏媛 殷云勤[2] 高宇辉 REN Pengyuan;YIN Yunqin;GAO Yuhui(Shanxi Medical University,Taiyuan 030001;Department of Gastroenterology,the First Hospital of Shanxi Medical University,China)

机构地区：[1]山西医科大学,山西太原030001 [2]山西医科大学第一医院消化内科

出　　处：《胃肠病学和肝病学杂志》2021年第3期341-345,共5页Chinese Journal of Gastroenterology and Hepatology

摘　　要：内镜黏膜下剥离术(endoscopic submucosal dissection,ESD)是治疗消化道早癌及癌前病变的一种有效方法,已广泛应用于临床实践。结直肠因管腔窄、肠袢弯曲角度大、黏膜薄等解剖特点,该部位的ESD操作难度较大,出血及穿孔等并发症的发生率也较高。如何有效地减少结直肠ESD术后并发症的发生一直是临床医师关注的重点问题。认识并掌握结直肠ESD常见并发症的发生情况、相关影响因素及防治措施对结直肠ESD的顺利完成及临床推广至关重要。Endoscopic submucosal dissection(ESD)is an effective method for treating early cancer and precancerous lesions of the digestive tract,and it has been widely used in clinical practice.Because of the narrow lumen,large bowel curvature and thin mucosa of colorectum,the colorectal ESD is difficult in this part,complication rate such as bleeding and perforation are also high.How to effectively reduce the incidence of postoperative complications of colorectal ESD has been a key issue for clinicians.Understanding and grasping the occurrence of common complications of colorectal ESD,related influencing factors,and preventive measures are crucial to the successful completion and clinical promotion of colorectal ESD.

关 键 词：内镜黏膜下剥离术 结直肠 并发症 电凝综合征 穿孔 

分 类 号：R574[医药卫生—消化系统]