在内镜超声波期间进行十二指甲孔的内镜管理:一个案例系列
Chuangye Zhang1,2, Shutian Zhang1
1Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Frontiers in medicine
|March 2, 2026
概括
超范围剪贴 (OTSC) 安全有效地关闭由内镜超声波 (EUS) 引起的小十二指肠孔. 迅速识别和内镜治疗这些阳性穿孔是患者康复的关键.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 手术创新 在外科创新.
背景情况:
- 阳性十二指肠穿孔是内镜超声波 (EUS) 的罕见但严重的并发症.
- 对这些穿孔的管理策略需要仔细考虑,以尽量减少发病率.
研究的目的:
- 评估使用超视野剪贴 (OTSC) 管理十二指孔的可行性,安全性和有效性.
- 评估在EUS期间对阳性十二指肠穿孔的最终管理策略.
主要方法:
- 在线性EUS期间经历了十二指甲孔穿孔的四名患者的回顾性分析.
- 对诊断,管理干预措施和患者结果的审查.
主要成果:
- 在5174次EUS手术中发生了4次穿孔 (0.077%).
- 所有的穿孔,从3-15毫米,成功地使用OTSC在没有手术的情况下通过内镜关闭.
- 住院时间根据患者的病情不同,从32天到92天不等.
结论:
- 用OTSC进行内镜闭合是一种安全有效的治疗方法,用于最大15毫米的阳性十二指肠穿孔.
- 早期检测和快速内镜干预对于减少并发症和改善康复至关重要.
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