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肝硬化患者肠镜下息肉高频电凝切除的观察与护理
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作者 巫织娥 陶力 +1 位作者 梁艳娉 尉秀清 《中国校医》 2015年第6期480-480,封3,共2页
目的探讨肝硬化患者肠镜下息肉高频电凝切除的护理方法与并发症。方法回顾性分析43例肝硬化患者肠镜下息肉高频电凝切除术的的手术操作、护理配合和并发症防治。结果 43例患者69枚息肉全部在内镜下顺利切除。患者发生术中出血4例(9.3%)... 目的探讨肝硬化患者肠镜下息肉高频电凝切除的护理方法与并发症。方法回顾性分析43例肝硬化患者肠镜下息肉高频电凝切除术的的手术操作、护理配合和并发症防治。结果 43例患者69枚息肉全部在内镜下顺利切除。患者发生术中出血4例(9.3%),术后迟发性出血3例(7.0%),但经内镜下止血及内科保守治疗,出血停止,未出现大出血、穿孔等严重并发症。结论肝硬化患者肠镜下息肉切除是一项安全、有效的微创技术,其术中出血与迟发性出血与肝功能Child-pugh的分期、息肉大小、是否粗蒂以及内镜医生操作经验有关。 展开更多
关键词 肠息肉/外科手术 内窥镜检查 道/方法 电凝术/方法
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Detection and treatment of synchronous lesions in colorectal cancer: The clinical implication of perioperative colonoscopy 被引量:10
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作者 Min Sun Kim Young Jin Park 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第30期4108-4111,共4页
AIM: To evaluate the clinical significance of preand intra-operative colonoscopy for the detection of synchronous lesions in colon cancer.METHODS: Two hundred and sixty-five pre-operative and 51 intra-operative colo... AIM: To evaluate the clinical significance of preand intra-operative colonoscopy for the detection of synchronous lesions in colon cancer.METHODS: Two hundred and sixty-five pre-operative and 51 intra-operative colonoscopic evaluations were performed in 316 colorectal cancer patients who underwent curative resection from January 2001 to June 2006. The incidence and characteristics of synchronous lesions and their influence on surgery were evaluated.RESULTS: Two hundred and eighty-two synchronous lesions were detected in 124 (39.2%) of 316 patients including all lesions regardless of their histologic type. True adenomatous polyps were found in 91 (28.8%) of 326 patients, and 27 (5.4% of all patients) patients had synchronous colon cancers. The preoperative identification of synchronous lesions altered the planned surgery in 37 (14.0%) of 265 patients. In 18 patients among the surgically removed cases, the lesions were removed by extending the resection range. Further segmental resection or polypectomy through enterotomy was necessary in 29 patients. Nineteen (37.2%) of 52 intraoperative colonoscopy cases had synchronous lesions. Additional surgical procedures including segmental bowel resection and polypectomy with enterotomy were necessary in 7 (23.7%) of 52 intraoperative colonoscopy cases to remove the lesions.CONCLUSION: Synchronous colorectal polyps or cancer are frequent and their preoperative detection is important for optimal surgical planning and treatment. Intraoperative colonoscopy is a useful option in cases where a preoperative colonoscopy is not feasible. 展开更多
关键词 Colon cancer Synchronous colon polyp Intraoperative colonoscopy
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