内镜治疗术中尼龙绳的应用价值探讨

The clinical value of nylon ligation during endoscopic therapy

目的探讨尼龙绳在内镜治疗中的临床应用价值。方法回顾性分析2012年6月至2013年7月我院内镜中心内镜下应用尼龙绳进行内镜治疗患者的临床资料,评价其安全性和疗效。结果共计125例患者纳入研究,男73例,女52例,年龄18~75岁,平均42岁。125例患者中内镜下应用尼龙绳套扎息肉切除89例（71.2%）,内镜下尼龙绳套扎止血9例（7.2%）,内镜下尼龙绳套扎联合金属钛夹间断缝合内镜切除术后创面27例（21.6%）。所有患者均内镜下治疗成功,术后均无严重并发症发生,无中转外科手术病例。所有患者均接受术后随访,随访时间3~9个月,中位随访时间4个月;1例创面尼龙绳残留,内镜下异物钳取出;所有病例均无再出血或肿瘤复发。结论应用尼龙绳进行各种临床内镜下治疗的安全性和疗效值得肯定。

Objective To evaluate the clinical value of nylon ligation during endoscopic therapy. Methods All the patients who underwent endoscopic therapy with nylon ligation in the Endoscopy Center of our hospital from June 2012 to July 2013 were retrospectively included. The safety and efficacy were evaluated. Results 125 patients, including 73 males and 52 females, were enrolled in this study. The median age of them was 42 years, ranged from 18 to 75 years. Among them, 89 cases（71.2%）underwent endoscopic polypectomy after nylon ligation, 9 cases（7.2%） underwent endoscopic hemostasis using nylon ligation, while 27 cases（21.6%） underwent endoscopic closure of the defect after endoscopic resection with metal clips and nylon ligation. Successful treatments were achieved in all cases and no patients needed additional surgery. All the patients were followed with a median time of 4 months（range, 3-9 months）. The wound healing was satisfactory. No local recurrence or re-bleeding occurred during follow-up. Conclusion Nylon ligation is an safe and effective method during endoscopic therapy.