纤维结肠镜在肠梗阻诊疗过程中的应用进展  

Progress in the application of fibro-colonoscopy in the diagnosis and treatment of intestinal obstruction

作　　者：邓庆铃 于红刚[1] DENG Qingling;YU Honggang(Department of Gastroenterology,Renmin Hospital of Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院消化内科,湖北武汉430060

出　　处：《胃肠病学和肝病学杂志》2022年第3期256-260,共5页Chinese Journal of Gastroenterology and Hepatology

摘　　要：肠梗阻是由不同原因所导致的肠道内容物通过困难的临床常见危急症,一般可依靠影像学检查进行诊断,但肠梗阻的病因分类复杂,临床症状与体征表现各异,病情进展迅速,临床上大多不能尽早明确梗阻病因及严重程度,对于有生命危险的肠梗阻类型容易出现误诊而延误治疗时机。往往需要在紧急情况下进行传统的剖腹探查手术加以明确,但紧急手术风险极高。及早明确梗阻病因有益于制定最佳治疗方案,对患者的治疗和预后有重要影响。随着消化道内窥镜技术的迅速发展,肠镜微创诊疗技术在肠梗阻中的应用也越来越广泛。本文将对纤维结肠镜在肠梗阻诊疗过程中的应用现状作一概述。Intestinal obstruction is a common and clinically difficult emergency of intestinal contents caused by different causes,which can be diagnosed by imaging examination generally.However,the etiological classification of intestinal obstruction is complex,with different clinical symptoms and signs,and the disease progresses rapidly.Most of the clinical causes and severity of obstruction cannot be determined as soon as possible,and misdiagnosis and delay treatment timing are easy to occur for life-threatening intestinal obstruction types.Traditional exploratory laparotomy is often required in emergency cases to determine the cause,but emergency surgery carries a high risk.Early identification of the cause of intestinal obstruction is beneficial to the formulation of the best treatment plan,which has an important impact on the treatment and prognosis of patients.With the rapid development of gastrointestinal endoscopy,the application of minimally invasive colonoscopy in the treatment of intestinal obstruction is becoming more and more extensive.This article summarized the application status of fiber-colonoscopy in the diagnosis and treatment of intestinal obstruction.

关 键 词：肠梗阻 纤维结肠镜 金属支架置入术 诊疗 

分 类 号：R574[医药卫生—消化系统]