OTSC金属夹在封闭急性医源性消化道穿孔中的临床应用

Efficacy of OTSC closure to the acute iatrogenic gastrointestinal perforation

目的评估内镜下Over-The-Scope-Clip system(OTSC)金属夹闭合医源性消化道穿孔的效果。方法对OTSC夹闭的11例急性医源性消化道穿孔病例进行了回顾性分析。其中,胃穿孔7例,十二指肠穿孔1例,结直肠穿孔3例。结果 11例患者均及时成功地进行了内镜下OTSC封闭,平均内镜下封闭术所需时间为6~15 min,封闭穿孔直径0.6~3.7 cm。结论内镜下OTSC夹闭术对急性医源性消化道穿孔疗效可靠,值得推广使用。

Objective To evaluate the efficacy of endoscopic Over-The-Scope-Clip system （OTSC） system for the acute iatrogenic digestive tract perforation. Methods To collect 11 cases with digestive tract perforation closed with the OTSC system, including 7cases of gastric perforation, 1 case of duodenal perforation,3 cases of colorectal perforation. Results 11 cases were successfully closed with OTSC system in time, the average time needed for the endoscopic closure is 6-15 vain. And the perforation diameter is 0.6-3.7 cm, average diameter is （1.89 ± 0.27） cm. No intraoperative bleeding and delayed hemorrhages, no deaths occurred. Conclusion Endoscopic OTSC system is a successful method for the digestive tract perforation and is worth to popularize.