实用临床医药杂志2024,Vol.28Issue(12) :96-99.DOI:10.7619/jcmp.20233656

双气囊小肠镜在息肉切除术中的应用效果

Application effect of double balloon enteroscopy in polypectomy

孙建萍 叶小芳 孙超
实用临床医药杂志2024,Vol.28Issue(12) :96-99.DOI:10.7619/jcmp.20233656

双气囊小肠镜在息肉切除术中的应用效果

Application effect of double balloon enteroscopy in polypectomy

孙建萍 1叶小芳 1孙超1
扫码查看

作者信息

  • 1. 扬州大学附属苏北人民医院内镜诊治中心,江苏扬州,225001
  • 折叠

摘要

目的 观察双气囊小肠镜(DBE)在息肉切除术中的应用效果.方法 回顾性分析34例小肠息肉患者实施DBE下息肉切除术的临床资料,总结DBE下息肉切除术中各类附件使用经验,以及穿孔、出血、腹胀腹痛等并发症的预防措施.结果 34例患者中除1例因息肉过大阻塞肠腔转为外科手术,其余33例均成功完成DBE下小肠息肉切除术;1例患者出现迟发性出血,在内镜下成功止血,并发症发生率为3.0%,所有患者经悉心护理均顺利出院,平均住院时间为(2.21±0.47)d.结论 DBE下息肉切除术切除小肠息肉安全可靠,充分的术前准备、医护默契的术中配合、熟练的操作技巧、术后严密的病情观察,是DBE下小肠息肉切除手术成功的重要保证,可降低并发症的发生率,促进患者康复.

Abstract

Objective To observe the application effect of double balloon enteroscopy(DBE)in polypectomy.Methods Clinical materials of 34 patients with DBE assisted polypectomy for small in-testinal polyps were retrospectively analyzed,and the experience in using various accessories during DBE assisted polypectomy as well as various preventive measures for complications such as perfora-tion,bleeding,abdominal distension and pain were summarized.Results Among the 34 patients,except for one patient who was converted to surgical operation due to excessive polyps blocking the in-testinal lumen,the other 33 patients successfully completed the DBE assisted polypectomy for small intestinal polyps;one patient suffered from delayed hemorrhage and successfully stopped bleedingun-der endoscopy,with a complication rate of 3.0%.All the patients were discharged smoothly after careful nursing,with an average hospital stay of(2.21±0.47)days.Conclusion The polypectomy under DBE is safe and reliable in the resection of intestinal polyps.Sufficient preoperative prepara-tion,good intraoperative cooperation between doctors and nurses,skilled operation,and strict postop-erative observation are important guarantees for the success of intestinal polyp resection under DBE,which can reduce the incidence rate of complications and promote the recovery of patients.

关键词

息肉切除术/双气囊小肠镜/小肠息肉/护理/穿孔

Key words

polypectomy/double balloon enteroscopy/small intestine polyps/nursing/perfo-ration

引用本文复制引用

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
段落导航相关论文