CAJ | 학술논문

目的探讨无痛结肠镜检查并发肠穿孔的原因，寻求避免该并发症的有效方法。方法回顾性分析我院2004年1月-2011年1月行无痛结肠镜检查的临床资料。结果共有15 086人行无痛结肠镜检查，发生肠穿孔12例，其中男6例，女6例，穿孔发生率为0.079％(12/15 086)。结论术前充分了解结肠镜检查的危险因素，术中避免镜身结圈，少注气，寻腔进镜，不强行插镜,可以有效避免肠穿孔的发生。
목적 탐토무통결장경검사병발장천공적원인，심구피면해병발증적유효방법。방법 회고성분석아원2004년1월-2011년1월행무통결장경검사적림상자료。결과 공유15 086인행무통결장경검사，발생장천공12례，기중남6례，녀6례，천공발생솔위0.079％(12/15 086)。결론 술전충분료해결장경검사적위험인소，술중피면경신결권，소주기，심강진경，불강행삽경,가이유효피면장천공적발생。
Objective To esplore the reason of painless colonoscopic perforation, and seek an effective way to avoid this complication. Methods Retrospectively analyzed the clinical data of painless colonoscopy examination of our hospital from January 2004 to January 2011. Results Painless colonoscopy examination was performed on 15 086 patients. Intestinal perforation occurred in 12 cases, including 6 males and 6 females; the incidence of perforation was 0.079％ (12/15 086). Conclusions In order to prevent the occurrence of intestinal perforation effectively, before the examination, we have to understand the risk factors fully; and during the examination, we should avoid a loop formation, inject less gas, and follow with the chamber.