金属夹在胃肠道疾病中应用价值的探讨

Application of hemoclip to the treatment of gastrointestinal diseases

目的观察金属夹在诊治胃肠道疾病中的有效性和安全性。方法收集我院内镜中心放置金属夹病例。经内镜活检孔反复置放金属夹,直到达到了诊治的目的。观察放置的成功率、并发症,随访放置的有效性。结果26例患者平均使用金属夹3.2枚,成功率100%;止血治疗16例,即时止血率100%。1例胃Dieulafoy病患者,在金属夹治疗24 h后,因再次出血转外科手术治疗,其余15例随访4周,未再出血;4例粗蒂和广基息肉电切前后分别用金属夹进行了预防性治疗,无出血和穿孔;6例金属夹定位的病灶和手术切除病灶位置完全一致。治疗后均无发热、腹痛等症状。结论金属夹能有效治疗胃肠道出血、预防电切息肉后出血和穿孔并能对病灶进行准确定位,值得推广应用。

Aim To investigate the effects of endoscopic therapy with hemoclip placement in gastrointestinal diseases.Methods Endoscopic biopsy hole folder will be placed to stop bleeding.Endoscopic device was pushed to the front end,incorporated into the jacket tube,and hemoclip will be open to the largest.Results 26 cases of patients with an average of 3.2 folder on the use of metal,the success rate of 100%;the treatment of 16 cases of bleeding,immediate hemostasis rate of 100% one cases of Gastric Dieulafoy disease,at the metal clips 24 hours after treatment, because once again to surgical bleeding, and the remaining 15 cases were followed up for 4 weeks, no bleeding; 4 cases of rough and broad-based pedicle polyps before and after the electricity cut metal clips separately conducted a preventive treatment,no bleeding and perforation;6 cases of metal clips positioning surgical resection of the lesion and the location is fully consistent lesions. After treatment there was no fever,abdominal pain and other symptoms. Conclusion Hemoclip effectivety treat gastroin- testinal bleeding, prevent bleeding after polyp resection and position the lesions accarately. It is worthy of popularization and application.