结肠镜下封闭技术的应用进展  

Application progress of sealing technique under colonoscopy

作　　者：彭帅 沈磊[1] 罗和生[1] Shuai Peng;Lei Shen;Hesheng Luo(Department of Gastroenterology,Renmin Hospital,Wuhan University,Wuhan 430060,China)

机构地区：[1]武汉大学人民医院消化内科,430060

出　　处：《中华结直肠疾病电子杂志》2022年第3期241-245,共5页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：湖北省医学临床研究中心项目(2012CDA12002)。

摘　　要：近年来,随着内镜技术的发展以及全民健康意识的不断增强,结肠镜在筛查和诊疗结肠疾病方面取得了重大进展。然而,随着这些诊疗手段的丰富,结肠镜下全层缺损的发生率逐渐升高,包括结肠镜检查时的被动穿孔,结肠镜治疗前已预判、有所准备的缺损以及未预判的肠道缺损,逐渐成为内镜下治疗发展的瓶颈。因此,各种先进的内镜封闭技术或装置被开发运用,在治疗肠道全层缺损中发挥着重要作用,为内镜诊疗技术的广泛应用提供保障。本文总结了现有的结肠镜下封闭技术,并讨论了其在治疗肠道全层缺损时的优势和局限性。In recent years, with the development of endoscopic technology and the continuous enhancement of national health awareness, colonoscopy has made great progress in screening, diagnosis and treatment of colon diseases. However, with the enrichment of these diagnosis and treatment methods, the incidence of full-thickness defects under colonoscopy has gradually increased, including passive perforation during colonoscopy, pre judged, prepared defects and non predicted intestinal defects before colonoscopy treatment, which has gradually become the bottleneck of the development of endoscopic treatment. Therefore, various advanced endoscopic sealing technologies or devices have been developed and used, which play an important role in the treatment of full-thickness intestinal defects and provide guarantee for the wide application of endoscopic diagnosis and treatment technology. This paper summarizes the existing colonoscopy sealing technology, and discusses its advantages and limitations in the treatment of full-thickness intestinal defects.

关 键 词：结肠镜 全层缺损 耙状金属夹闭合系统(OTSC) 内镜缝合装置 

分 类 号：R57[医药卫生—消化系统]