双气囊小肠镜在息肉切除术中的应用效果

Application effect of double balloon enteroscopy in polypectomy

目的观察双气囊小肠镜(DBE)在息肉切除术中的应用效果。方法回顾性分析34例小肠息肉患者实施DBE下息肉切除术的临床资料,总结DBE下息肉切除术中各类附件使用经验,以及穿孔、出血、腹胀腹痛等并发症的预防措施。结果34例患者中除1例因息肉过大阻塞肠腔转为外科手术,其余33例均成功完成DBE下小肠息肉切除术;1例患者出现迟发性出血,在内镜下成功止血,并发症发生率为3.0%,所有患者经悉心护理均顺利出院,平均住院时间为(2.21±0.47)d。结论DBE下息肉切除术切除小肠息肉安全可靠,充分的术前准备、医护默契的术中配合、熟练的操作技巧、术后严密的病情观察,是DBE下小肠息肉切除手术成功的重要保证,可降低并发症的发生率,促进患者康复。

Objective To observe the application effect of double balloon enteroscopy(DBE)in polypectomy.Methods Clinical materials of 34 patients with DBE assisted polypectomy for small intestinal polyps were retrospectively analyzed,and the experience in using various accessories during DBE assisted polypectomy as well as various preventive measures for complications such as perforation,bleeding,abdominal distension and pain were summarized.Results Among the 34 patients,except for one patient who was converted to surgical operation due to excessive polyps blocking the intestinal lumen,the other 33 patients successfully completed the DBE assisted polypectomy for small intestinal polyps;one patient suffered from delayed hemorrhage and successfully stopped bleedingunder endoscopy,with a complication rate of 3.0%.All the patients were discharged smoothly after careful nursing,with an average hospital stay of(2.21±0.47)days.Conclusion The polypectomy under DBE is safe and reliable in the resection of intestinal polyps.Sufficient preoperative preparation,good intraoperative cooperation between doctors and nurses,skilled operation,and strict postoperative observation are important guarantees for the success of intestinal polyp resection under DBE,which can reduce the incidence rate of complications and promote the recovery of patients.