结直肠内镜下黏膜剥离术并发穿孔的研究进展

何佈乐; 王伟宁

文章摘要

何佈乐,王伟宁.结直肠内镜下黏膜剥离术并发穿孔的研究进展[J].安徽医药,2023,27(4):658-663.

结直肠内镜下黏膜剥离术并发穿孔的研究进展

Research progress on perforation of colorectal endoscopic submucosal dissection complications

DOI：10.3969/j.issn.1009-6469.2023.04.006

中文关键词: 内窥镜黏膜切除术肠穿孔手术中并发症结直肠肿瘤危险因素预防处理

英文关键词: Endoscopic mucosal resection Intestinal perforation Intraoperative complication Colorectal neoplasms Risk factors Prevention Management

基金项目:

作者	单位	E-mail
何佈乐	南华大学附属长沙医院消化内科，湖南长沙 410000
王伟宁	长沙市第一医院消化内科，湖南长沙 410000	956298727@qq.com

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中文摘要:

内镜下黏膜剥离术( endoscopic submucosal dissection，ESD)因为其完整切除率高、复发率低、限制小、创伤小、恢复快等优点，已经成为被广泛应用于治疗结直肠早期肿瘤的一项内镜技术。但由于 ESD的操作难度大、时间长，而结直肠壁薄、弯曲角度大、管腔狭窄且具有皱褶等原因，导致结直肠 ESD的穿孔率相对较高。因此正确认识并掌握结直肠 ESD并发穿孔的发生情况、危险因素、预防及处理措施，对结直肠 ESD的顺利完成及临床推广至关重要。

英文摘要:

Endoscopic submucosal dissection (ESD) has become a widely used endoscopic technique for the treatment of earlycolorectal tumors due to the advantages of high complete resection rate, low recurrence rate, small restriction, minimal trauma, and rapid recovery. However, because the difficult and long operation of ESD, as well as the thin colorectal wall, large bending angle, narrowlumen and folds, the perforation rate of colorectal ESD is relatively high. Therefore, proper understanding and knowledge of the occurrence, risk factors, prevention and management measures of colorectal ESD complicating perforation are essential for the successfulcompletion and clinical promotion of colorectal ESD.

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