發(fā)布時間：2018-08-28 18:43

【摘要】：內(nèi)鏡下黏膜切除術(shù)(EMR)和內(nèi)鏡下黏膜剝離術(shù)(ESD)現(xiàn)已廣泛應(yīng)用于消化道黏膜表淺病變的治療。電凝綜合征和遲發(fā)性腸穿孔作為內(nèi)鏡下治療術(shù)后常見的并發(fā)癥,兩者早期臨床表現(xiàn)相似,但治療方法和預(yù)后存在較大差異,遲發(fā)性腸穿孔保守治療效果欠佳。本文報道1例橫結(jié)腸息肉患者行EMR后發(fā)生遲發(fā)性腸穿孔,經(jīng)抗感染、腹腔穿刺及引流等保守治療后,患者恢復(fù)良好,為遲發(fā)性腸穿孔保守治療提供借鑒。
[Abstract]:Endoscopic mucosal resection (EMR) and endoscopic mucosal dissection (ESD) have been widely used in the treatment of superficial gastrointestinal mucosal lesions. Electrocoagulation syndrome and delayed bowel perforation are common complications after endoscopic treatment. Their early clinical manifestations are similar, but there are great differences in treatment methods and prognosis, and the conservative treatment effect of delayed intestinal perforation is not good. This paper reports a case of delayed intestinal perforation after EMR in a patient with transverse colonic polyp. After conservative treatment such as anti-infection, abdominal puncture and drainage, the patient recovered well, which provides a reference for conservative treatment of delayed intestinal perforation.
【作者單位】： 上海市浦東新區(qū)公利醫(yī)院消化內(nèi)科;
【基金】：上海市浦東新區(qū)科技發(fā)展基金面上項目(PKJ2016-Y15)
【分類號】：R656.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前5條

1 由昌源，張紹軍，張健;外傷性遲發(fā)性腸穿孔13例分析[J];中國實用外科雜志;1995年10期

2 陳升;鈍性腹部損傷遲發(fā)性腸穿孔的預(yù)防[J];遼寧醫(yī)學(xué)雜志;1997年01期

3 肖振山，劉廣力，，李維全，趙廣臣;腹部原發(fā)沖擊傷致遲發(fā)性腸穿孔5例救治體會[J];吉林醫(yī)學(xué);1996年04期

4 肖振山;劉廣力;李維全;趙廣臣;王得厚;;腹部沖擊傷并發(fā)遲發(fā)性腸穿孔5例救治體會[J];沈陽部隊醫(yī)藥;1997年01期

5 朱耀魁;王曉玉;龔謹(jǐn);曹明溶;;射頻治療子宮頸息肉致遲發(fā)性腸穿孔1例[J];新醫(yī)學(xué);2010年07期

本文編號：2210274