金属钛夹在消化道息肉高频电凝电切术的应用探讨
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- 论文作者：罗红来 ; 王莹 ; 李静如 ; 厉琴 ; 高小花 ; 薛冰洋 ; 仇学明
- 年：2016
- 作者机构：淮安市解放军第82医院消化内科;
- 论文关键词：金属钛夹 ; 消化道息肉 ; 高频电凝电切术
- 英文论文关键词：titanium clamp ; The digestive tract polyps ; High frequency electric coagulation electric cut method
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R656
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：1821k
- 原文格式：D
- 会议级别：全国
摘要
目的:分析金属钛夹在消化道息肉高频电凝电切术的应用。方法:研究选择2014年4月到2016年4月期间,消化道息肉的患者200例作为研究对象,全部患者均选择高频电凝电切术和金属钛夹进行治疗,针对山田Ⅰ型与Ⅱ型息肉的患者,应在黏膜下方进行注射,当息肉呈现隆起状态后,可以选择高频电凝电切术进行治疗,最后采用金属钛夹完成创面的夹闭。而山田Ⅲ型与Ⅳ型息肉的患者先采用金属钛夹对息肉根部进行夹紧,结合高频电凝电切术对患者消化道息肉进行清除。结果:在200例患者中,总共发现息肉245枚,手术切除240枚,总成功率为97.9%,在所有患者治疗中,并未发现出血和穿孔等症状。结论:金属钛夹在消化道息肉高频电凝电切术的应用,具有安全性高和应用效果较为理想的特点,不仅操作简单,而且还能对患者出血和穿孔等相关并发症进行有效预防,是现阶段消化道息肉患者最佳治疗手段。
Objective: to analyze the application of titanium clip in the digestive tract polyps high-frequency electroblation. Methods: the study selected from April 2014 to April 2016, gastrointestinal polyps in 200 patients as the research object, all patients were selected for high-frequency electroblation and metal titanium clips in the treatment for type I, Yamada with type IIpolyp patients should be injected in the mucosa below, when polyps present uplift state, can choose high-frequency electroblation treatment, clipping the metal clip complete the wound. Yamadamode polyp patients using titanium clips to clamp the polyp root, combined with high frequency Electrocoagulation Operation on patients with digestive tract polyps were removed. Results: in 200 patients, found a total of 245 polyps, surgical resection in 240 cases, the total success rate was 97.9%. In all patients, found no symptoms such as bleeding and perforation. Conclusion: theapplication of titanium clip in the digestive tract polyps high-frequency electrical coagulation electrocision, high security features and application effect of the ideal, not only has the advantages ofsimple operation, but also can effectively prevent the bleeding and perforation related complications, is the stage of gastrointestinal polyps the best treatment.
Objective: to analyze the application of titanium clip in the digestive tract polyps high-frequency electroblation. Methods: the study selected from April 2014 to April 2016, gastrointestinal polyps in 200 patients as the research object, all patients were selected for high-frequency electroblation and metal titanium clips in the treatment for type I, Yamada with type IIpolyp patients should be injected in the mucosa below, when polyps present uplift state, can choose high-frequency electroblation treatment, clipping the metal clip complete the wound. Yamadamode polyp patients using titanium clips to clamp the polyp root, combined with high frequency Electrocoagulation Operation on patients with digestive tract polyps were removed. Results: in 200 patients, found a total of 245 polyps, surgical resection in 240 cases, the total success rate was 97.9%. In all patients, found no symptoms such as bleeding and perforation. Conclusion: theapplication of titanium clip in the digestive tract polyps high-frequency electrical coagulation electrocision, high security features and application effect of the ideal, not only has the advantages ofsimple operation, but also can effectively prevent the bleeding and perforation related complications, is the stage of gastrointestinal polyps the best treatment.
引文
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[5]龚建荣.钛夹及尼龙绳对预防大肠巨大有蒂息肉高频电凝切除术出血的临床研究[J].现代医药卫生,2013,29(21):3277-3278.
[6]Zhang Lei,Dong forward,Zhang Yinghui.Endoscopic titanium clip with high-frequency electric coagulation in the treatment of colorectal polyps in 258 cases of[J].clinical medicine journal,2013,30(10):672-673.
[2]郑建芳,岑均儿,章四杰.钛夹联合高频电治疗老年大肠巨大有蒂息肉疗效分析[J].现代实用医学,2015,27(10):1295-1296.
[3]Qu Yinzong,Huang Jingrong,Yu Yihan,et al.A nylon rope and a titanium clip in colorectal polyps resection thick pedicle[J].Journal of clinical medicine in the risk assessment process,2013,30(6):413-414.
[4]刘响宇,戴建军,钱建清,等.预先使用金属钛夹在内镜下高频电切消化道息肉中的作用[J].海南医学,2013,24(18):2683-2685.
[5]龚建荣.钛夹及尼龙绳对预防大肠巨大有蒂息肉高频电凝切除术出血的临床研究[J].现代医药卫生,2013,29(21):3277-3278.
[6]Zhang Lei,Dong forward,Zhang Yinghui.Endoscopic titanium clip with high-frequency electric coagulation in the treatment of colorectal polyps in 258 cases of[J].clinical medicine journal,2013,30(10):672-673.