横结肠息肉内镜下黏膜切除术后迟发性肠穿孔保守治疗成功一例报道并文献复习

发布时间：2018-08-28 18:43

【摘要】：内镜下黏膜切除术(EMR)和内镜下黏膜剥离术(ESD)现已广泛应用于消化道黏膜表浅病变的治疗。电凝综合征和迟发性肠穿孔作为内镜下治疗术后常见的并发症,两者早期临床表现相似,但治疗方法和预后存在较大差异,迟发性肠穿孔保守治疗效果欠佳。本文报道1例横结肠息肉患者行EMR后发生迟发性肠穿孔,经抗感染、腹腔穿刺及引流等保守治疗后,患者恢复良好,为迟发性肠穿孔保守治疗提供借鉴。
[Abstract]:Endoscopic mucosal resection (EMR) and endoscopic mucosal dissection (ESD) have been widely used in the treatment of superficial gastrointestinal mucosal lesions. Electrocoagulation syndrome and delayed bowel perforation are common complications after endoscopic treatment. Their early clinical manifestations are similar, but there are great differences in treatment methods and prognosis, and the conservative treatment effect of delayed intestinal perforation is not good. This paper reports a case of delayed intestinal perforation after EMR in a patient with transverse colonic polyp. After conservative treatment such as anti-infection, abdominal puncture and drainage, the patient recovered well, which provides a reference for conservative treatment of delayed intestinal perforation.
【作者单位】：上海市浦东新区公利医院消化内科;
【基金】：上海市浦东新区科技发展基金面上项目(PKJ2016-Y15)
【分类号】：R656.1

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