摘要
结肠镜致结肠穿孔的发生率很低,某些因素可增加结肠穿孔的发生风险。结肠穿孔的诊断需结合患者临床表现、实验室检查、影像学检查进行综合分析。结肠穿孔的治疗方法主要包括保守治疗、内镜夹闭治疗和手术治疗。内镜夹闭治疗具有创伤小、患者恢复快、花费少、节约医疗资源的特点。结肠穿孔的手术治疗包括传统开腹手术和腹腔镜手术两种方式,术后均需使用抗生素。腹腔引流可缓解手术治疗和非手术治疗结肠穿孔患者的病情,提高其生存率。
The incidence of colonic perforation caused by colonoscopy is very low. Some factors may increase the risk of colonic perforation. The diagnosis should be combined with clinical manifestations,laboratory examinations and imaging examinations. The treatment methods mainly include conservative treatment,endoscopic clipping treatment and surgical treatment. Endoscopic clipping therapy has the characteristics of minimal trauma,rapid recovery,low cost and saving medical resources. Surgical treatment includes traditional laparotomy and laparoscopic surgery,both needing antibiotics after operation. Abdominal drainage can alleviate the condition of the patients treated by operation or non-operation,and improve the survival rate.
作者
周航
杨幼林
ZHOU Hang;YANG Youlin(Department of Gastroenterology,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)
出处
《医学综述》
2019年第18期3647-3651,共5页
Medical Recapitulate
关键词
结肠穿孔
结肠镜
并发症
Colonic perforation
Colonoscopy
Complication
