对一个巨大的自我插入的异物体进行内镜治疗,该异物体在结肠中受到冲击
Minhui Hu1, Yi Lu2, Junkui Wu2
1Gastrointestinal Endoscopy, The Sixth Affiliated Hospital. Sun Yat-sen Univers, China.
Revista espanola de enfermedades digestivas
|January 11, 2024
概括
通过使用结肠镜和吸入空气,成功地从结肠中移除了一个大型异物体. 这种最少的侵入性技术避免了为35厘米的直肠外体进行手术.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 医疗器械技术 医疗器械技术
背景情况:
- 外体插入直肠,通常是通过自我自慰,是一个重大的临床挑战.
- 管理需要仔细考虑,以避免诸如穿孔或出血等并发症.
- 最少的侵入性技术是首选的,以避免需要手术干预.
研究的目的:
- 描述一个成功的非手术技术,去除一个大的,冲击直肠外体.
- 突出结肠镜与吸入在管理复杂的直肠外体冲击的实用性.
主要方法:
- 一名37岁的男性患有35厘米长的直肠外体,经过内镜切除.
- 一个结肠镜和一个多面镜陷被用来抓住和提取物体.
- 患者的定位,深呼吸和排便操作被采用,以促进在西格结肠的转折点移除.
主要成果:
- 成功地提取了35厘米的外体,没有在程序内出血或穿孔.
- 内镜方法成功地避免了手术干预的需要.
- 患者从腹部疼痛和膨胀中获得了缓解.
结论:
- 使用结肠镜和吸气进行内镜去除,对于大直肠外体来说是一种安全有效的方法.
- 这种技术为手术提供了可行的替代方案,减少了患者的发病率.
- 谨慎的操纵和患者的合作对于复杂病例的成功结果至关重要.
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