内镜下黏膜剥离术的技师配合

目的探讨内镜下黏膜剥离术（ESD）技师配合技术和方法。方法通过总结和回顾ESD术设备准备、技术参数及技师的配合方法,保证ESD术的成功进行,减少出血及穿孔等并发症发生。结果ESD术关键的治疗附件包括内镜注射针、针型切开刀、IT切开刀、止血钳及高频电凝器ICC-200等。通过合理使用ESD电切、电凝的技术参数和配合技术,成功进行了28例患者29个病变的ESD术。结论合理使用电切、电凝等技术参数和配合技术是防止并发症、成功进行ESD术的重要保障。

Cooperation of technicians in endoscopic submucosal dissection

Objective To study the techniques and methods of cooperative technicians in endoscopic submucosal dissection （ESD）. Methods ESD could be successfully performed and complications such as bleeding and perforation could be decreased by summarizing and reviewing the preparation of devices used in ESD, technical parameters, and cooperative methods of technicians. Results The key therapeutic devices used in ESD include endoscopic injector, needle-like knife, IT knife, hemostatic forceps, high frequency electrocoagulator ICC-200. By rational use of the technical parameters of electroresection and electrocoagulation, and the cooperative techniques, we performed ESD for 29 lesions in 28 patients. Conclusion Complications of ESD can be prevented by rational use of the technical parameters of electroresection and electrocoagulation, and the cooperative techniques, which are keys to the success of ESD.