[1]李访贤,范志宁①,文卫①,等.钛夹处理内镜下黏膜切除术后创面62例[J].中国微创外科杂志,2009,09(6):535-537.
　Li Fangxian*,Fan Zhining,Wen Wei,et al.Titanium Clips in the Treatment of Defects Caused by Endoscopic Mucosal Resection: Report of 62 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(6):535-537.
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钛夹处理内镜下黏膜切除术后创面62例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年6期
页码:
535-537
栏目:
出版日期:
2009-08-01

文章信息/Info

Title:
Titanium Clips in the Treatment of Defects Caused by Endoscopic Mucosal Resection: Report of 62 Cases
作者:
李访贤; 范志宁①; 文卫① ; 刘思德; 彭栋柱; 邱教
浙江省宁波市宗瑞医院消化内科，宁波315806
Author(s):
Li Fangxian*;  Fan Zhining;  Wen Wei;  et al.
*Department of Gastroenterology, Beilun Zongrui Hospital, Ningbo 315806, China
关键词:
内镜下黏膜切除术; 黏膜隆起性病变; 钛夹夹闭创面
Keywords:
Endoscopic mucosal resection; Mucosal protuberant lesion; Titanium clips
分类号:
R735
文献标志码:
A
摘要:
目的探讨内镜下黏膜切除（endoscopic mucosal resection，EMR）术后钛夹夹闭创面，对防止并发症及促进创面愈合的效果。方法对62例直径≤15 mm的食管、胃肠隆起性病变行EMR治疗，共切除69处病变，术后创面均应用钛夹处理，评价术中及术后的并发症情况，术后6周复查内镜，观察创面愈合情况。结果62例69处病变均完整切除，无残留病变，1~3枚钛夹夹闭创面，无出血、穿孔等并发症，6周后复查内镜，创面均达到愈合标准，65处病变的钛夹脱落，均无溃疡、复发及狭窄。结论EMR术后钛夹夹闭创面操作简单，安全，治疗效果好。
Abstract:
ObjectiveTo evaluate the therapeutic effects of titanium clips occlusion for the defects and complications caused by endoscopic mucosal resection (EMR).MethodsTotally 62 patients with protuberant lesions in the esophagus or gastrointestinal tract (≤15 mm in diameter) were treated by EMR in our hospital. During the operation, 69 lesions were cut and the surgical defects were clipped using titanium clips. The intra and postoperative complications of the patients were reviewed. Six weeks after the treatment, the patients received reexamination by endoscopy to observe the healing of the mucosal defects.ResultsThe 69 lesions in the 62 cases were resected completely. At each defect, 1-3 titanium clips were used, no perforation or hemorrhage occurred in the patients. Endoscopy performed in 6 weeks showed that all the defects were healed without ulcer, stenosis or recurrence. The titanium clips dropped 65 of the defected mucosa.ConclusionTitanium clips is effective and safe for defects caused by endoscopic mucosal resection.

参考文献/References:

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备注/Memo

备注/Memo:
①(南京医科大学第二附属医院消化内镜中心,南京210000)
更新日期/Last Update: 2014-01-08