| 应用短刀头强力电凝行经口内镜食管下括约肌切开术治疗贲门失弛缓症的效果 |
| |
| 引用本文： | 陈科全,叶秀杰,陈烜左,李思荃,许研.应用短刀头强力电凝行经口内镜食管下括约肌切开术治疗贲门失弛缓症的效果[J].中国内镜杂志,2022,28(3):44-49. |
| |
| 作者姓名： | 陈科全 叶秀杰 陈烜左 李思荃 许研 |
| |
| 作者单位： | 1.广州医科大学附属第一医院 消化内科，广东 广州 510120;2.华中科技大学同济医学院附属 协和医院 骨外科，湖北 武汉 430022;3.广州市干部健康管理中心 消化内镜科， 广东 广州 510530 |
| |
| 摘 要： | 目的 分析应用回缩Dual刀头强力电凝行经口内镜食管下括约肌切开术(POEM)治疗贲门失弛缓症(AC)的安全性及有效性.方法 分析2016年1月-2019年3月广州医科大学附属第一医院29例AC患者的临床资料,患者均接受POEM治疗,随访满24个月.记录手术操作时间、术中及术后并发症发生率和Eckardt评分.结果 平...
|
| 关 键 词： | 贲门失弛缓症 经口内镜食管下括约肌切开术 强力电凝 短刀头 安全性 有效性 |
| 收稿时间： | 2021/6/24 0:00:00 |
Application of short knife head strong electrocoagulation in peroral endoscopic myotomy for achalasia |
| |
| Ke-quan Chen,Xiu-jie Ye,Xuan-zuo Chen,Si-quan Li,Yan Xu.Application of short knife head strong electrocoagulation in peroral endoscopic myotomy for achalasia[J].China Journal of Endoscopy,2022,28(3):44-49. |
| |
| Authors: | Ke-quan Chen Xiu-jie Ye Xuan-zuo Chen Si-quan Li Yan Xu |
| |
| Institution: | 1.Department of Gastroenterology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510120, China;2.Department of Orthopaedic Surgery, Union Hospital Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430022, China;3.Department of Digestive Endoscopy, Guangzhou Cadre Health Management Center, Guangzhou, Guangdong 510530, China |
| |
| Abstract: | Objective To analyze the safety and effectiveness of retractive Dual-knife head strong electrocoagulation in peroral endoscopic myotomy (POEM) for treatment of achalasia (AC).Methods 29 patients with AC receiving POEM treatment from January 2016 to March 2019 and followed up for 24 months were collected. The operation time, intraoperative, postoperative complication rate, and Eckardt score were recorded.Results The mean operation time was (37.28 ± 10.56) min. There were 5 cases (17.2%) with electrocoagulation hemostasis after obvious intraoperative bleeding, and 9 cases (31.0%) with twisting sensation during operation, no serious intraoperative and postoperative complications occurred in all patients. Following up for 24 months, the Eckardt score of 28 patients was significantly decreased after surgery (1.20 ± 0.41)] compared with that before surgery (7.50 ± 1.83)] (P < 0.05); One patient received 4 Eckardt scores 12 months after the first POEM and 1 Eckardt score 24 months after the second POEM.Conclusion The short knife head powerful electrocoagulation method is used in POEM for AC patients, the operation time is short, can reduce the difficulty of fine manipulation, and has higher safety and effectiveness, which is conducive to the development of POEM. |
| |
| Keywords: | achalasia peroral endoscopic myotomy strong electrocoagulation short knife head safety efficacy |
|
| 点击此处可从《中国内镜杂志》浏览原始摘要信息 |
| 点击此处可从《中国内镜杂志》下载免费的PDF全文 |
|
