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≤15mm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。
Objective To evaluate the therapeutic effects of titanium clips occlusion for the defects and complications caused by endoscopic mucosal resection （EMR）. Methods Totally 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. Results The 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. Conclusion Titanium clips is effective and safe for defects caused by endoscopic mucosal resection.
出处
《中国微创外科杂志》
CSCD
2009年第6期535-537,共3页
Chinese Journal of Minimally Invasive Surgery
