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通过内镜和气球扩张治疗由反复门插入引起的良性直肠狭窄:一个病例报告
Shih-Hung Liu1, Jung-Cheng Kang2, Je-Ming Hu3
1Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
World journal of gastrointestinal endoscopy
|March 11, 2024
概括
重复的直肠外来物体插入会导致良性狭窄. 用的血凝固和气球扩张进行内镜治疗,有效地管理了这种罕见的直肠狭窄的原因.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 性健康 性的健康
背景情况:
- 良性直肠收缩被分为初级 (与疾病相关) 或二级 (与外科解剖相关).
- 主要狭窄源于不同的病因,包括炎症状况.
- 这一案例突出了一个不寻常的原因:为性目的重复插入直肠外来物体,导致受伤和慢性炎症.
研究的目的:
- 报告一种良性直肠狭窄的不寻常病因.
- 突出性行为在直肠损伤和狭窄形成中的作用.
- 为了评估这种情况的内镜治疗.
主要方法:
- 一个53岁的男性患有慢性便秘和血的病例研究.
- 结肠镜检查显示了良性圆周直肠狭窄.
- 治疗包括内镜血凝固和气球扩张.
主要成果:
- 患者有从前因外来物体插入而造成直肠损伤的病史.
- 内镜治疗成功地解决了狭窄.
- 4个月的随访没有显示直肠狭窄的复发.
结论:
- 在患有良性直肠狭窄症的患者中,考虑从异物中引起的直肠损伤.
- 透视性阿贡血凝固和气球扩张提供了一个非手术治疗选择.
- 这种方法可以防止需要手术切除.
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