CAJ | 학술논문

目的：探讨电子结肠镜检查过程中并发肠穿孔的影响因素和应对策略。方法2003－12至2013－12我院行电子结肠镜检查3651例次，对其中4例结肠镜检查致消化道穿孔病例资料进行回顾性分析。结果电子结肠镜并发结肠穿孔4例，诊断性肠穿孔3例，治疗性穿孔1例。3例为无痛肠镜检查，1例为常规肠镜检查。3例在乙状结肠，1例在回盲部。结论结肠镜诊疗中并发肠穿孔临床少见，治疗取决于患者的年龄、有无基础的肠道疾病，肠穿孔后并发感染的程度，可以采取保守治疗。
목적：탐토전자결장경검사과정중병발장천공적영향인소화응대책략。방법2003－12지2013－12아원행전자결장경검사3651례차，대기중4례결장경검사치소화도천공병례자료진행회고성분석。결과전자결장경병발결장천공4례，진단성장천공3례，치료성천공1례。3례위무통장경검사，1례위상규장경검사。3례재을상결장，1례재회맹부。결론결장경진료중병발장천공림상소견，치료취결우환자적년령、유무기출적장도질병，장천공후병발감염적정도，가이채취보수치료。
Objective To investigate influential factors affecting the occurrence and complications of colonic perforation in -duced by electronic colonoscopy and treatment strategy .Methods There were 3 651 case times that received electronic colonoscopy in our hospital from December 2003 to December 2013, and retrospective analysis was made on the 4 cases that had perforation of digestive tract induced by colonoscopy .Results Four cases of colonic perforations , of which 3 were diagnostic perforations , one was therapeutic perforation.Three cases were detected with painless colonoscopy , and one case with conventional colonoscopy .Three cases were in the sigmoid and 1 case in the ileocecum .Conclusion In the diagnostic and treatment colonoscopy , perforation with complication was not rare.The results of the treatment depended on the patients′age, the intestinal diseases and the seriousness of infection after perforation . Treatment for the disorder could be conservative management .