电子结肠镜检查致肠穿孔并发症的影响因素及对策

Influential factors affecting the occurrence and complications of colonic perforation induced by electronic colonoscopy and treatment strategy

目的探讨电子结肠镜检查过程中并发肠穿孔的影响因素和应对策略。方法 2003-12至2013-12我院行电子结肠镜检查3 651例次,对其中4例结肠镜检查致消化道穿孔病例资料进行回顾性分析。结果电子结肠镜并发结肠穿孔4例,诊断性肠穿孔3例,治疗性穿孔1例。3例为无痛肠镜检查,1例为常规肠镜检查。3例在乙状结肠,1例在回盲部。结论结肠镜诊疗中并发肠穿孔临床少见,治疗取决于患者的年龄、有无基础的肠道疾病,肠穿孔后并发感染的程度,可以采取保守治疗。

Objective To investigate influential factors affecting the occurrence and complications of colonic perforation in -duced by electronic colonoscopy and treatment strategy .Methods There were 3 651 case times that received electronic colonoscopy in our hospital from December 2003 to December 2013, and retrospective analysis was made on the 4 cases that had perforation of digestive tract induced by colonoscopy .Results Four cases of colonic perforations , of which 3 were diagnostic perforations , one was therapeutic perforation.Three cases were detected with painless colonoscopy , and one case with conventional colonoscopy .Three cases were in the sigmoid and 1 case in the ileocecum .Conclusion In the diagnostic and treatment colonoscopy , perforation with complication was not rare.The results of the treatment depended on the patients′age, the intestinal diseases and the seriousness of infection after perforation . Treatment for the disorder could be conservative management .