| 钛夹及尼龙绳对预防大肠巨大有蒂息肉高频电凝切除术出血的临床研究 |
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| 引用本文： | 王一鸣,熊毅敏,郑国荣,高娟,陈建利. 钛夹及尼龙绳对预防大肠巨大有蒂息肉高频电凝切除术出血的临床研究[J]. 中国内镜杂志, 2013, 19(1): 29-33 |
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| 作者姓名： | 王一鸣 熊毅敏 郑国荣 高娟 陈建利 |
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| 作者单位： | 解放军广州军区武汉总医院消化内科,湖北武汉,430070 |
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| 摘 要： | 目地 评价钛夹及尼龙绳对预防大肠有蒂巨大息肉高频电凝切除术出血的临床效果.方法 对54例患者共87枚大肠有蒂巨大息肉行肠镜下高频电凝切除术时根据息肉形态及特点分别在切除前或切除后联合钛夹或尼龙绳预防术中及术后出血.结果 在87枚大肠有蒂巨大息肉中,59枚息肉电切后以钛夹钳闭残端；28枚息肉在根部行尼龙绳结扎,23枚息肉结扎后行全瘤高频电切除治疗,5枚息肉结扎后行息肉部分切除送检.全部病变在术中无出血发生,4例(4.6％)发生术后迟发性出血.急诊肠镜下3例经钛夹止血成功；1例(1.1％)经肠镜止血治疗无效,转外科手术治疗.结论 为预防大肠有蒂巨大息肉高频电切时出血,可根据息肉的形态、根蒂的长短及粗细,采用尼龙圈套或金属肽夹进行辅助治疗.
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| 关 键 词： | 大肠息肉 高频电切术 钛夹 尼龙圈套器 |
Prevention of bleeding by clamping with titanium clips or nylon endoloop ligature in the treatment of large colorectal peduncluated polyps with high-frequency electrocoagulation |
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| WANG Yi-ming, XIONG Yi-min, ZHENG Guo-rong, GAO Juan, CHEN Jian-li. Prevention of bleeding by clamping with titanium clips or nylon endoloop ligature in the treatment of large colorectal peduncluated polyps with high-frequency electrocoagulation[J]. China Journal of Endoscopy, 2013, 19(1): 29-33 |
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| Authors: | WANG Yi-ming XIONG Yi-min ZHENG Guo-rong GAO Juan CHEN Jian-li |
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| Affiliation: | (Department of Digestive Diseases, General Hospital of Guangzhou Command, Wuhan, Hubei 430070, P.R.China) |
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