International Journal of Clinical Research
International Journal of Clinical Research. 2023; 7: (10) ; 10.12208/j.ijcr.20230326 .
总浏览量: 519
中国人民解放军联勤保障部队第九八九医院消化内科 河南洛阳
*通讯作者： 武育卫,单位：中国人民解放军联勤保障部队第九八九医院消化内科 河南洛阳；
内镜下氩离子凝固术是治疗胃息肉的常用方法之一，但内镜下氩离子凝固术治疗胃息肉导致胃穿孔发生，临床上极其罕见，报道极少。现报道1例我院胃底息肉患者行内镜下氩离子凝固术治疗后，导致急性胃穿孔发生，出现腹痛和腹膜炎体征，经内镜下5枚钛夹密集封闭创面，并给予抑酸、抗炎、营养支持等内科保守治疗，临床痊愈后出院，取得良好效果。
Endoscopic argon plasma coagulation is one of the common methods for the treatment of gastric polyp, but gastric perforation following endoscopic argon plasma coagulation therapy of gastric polyp is rare and few report. Here, we reported one case acute gastric perforation after endoscopic argon plasma coagulation in the treatment of gastric fundus polyp, and abdominal pain and peritonitis, the patient recovered and discharged after close the wound with 5 titanium clips under endoscope and acid suppression and anti-inflammatory and nutritional support and other medical conservative treatment, achieve good results.
[1] 李美娇,黄瑞娜.内镜下氩离子凝固术治疗胃息肉的临床疗效[J].深圳中西医结合杂志,2020,30(21):162-163.
[2] Jung SJ, Cho SJ, Choi IJ, et al. Argon plasma coagulation is safe and effective for treating smaller gastric lesions with low-grade dysplasia: a comparison with endoscopic submucosal dissection[J]. Surg Endosc, 2013, 27(4): 1211-1218.
[3] 姜红建,韩文良,李小环,等.胃镜下氩离子凝固术与胃镜下黏膜切除术治疗胃息肉临床疗效比较[J].新乡医学院学报,2021,38(2):166-168.
[4] 黄鹏.胃镜下氩离子凝固术与胃镜下黏膜切除术治疗胃息肉患者的效果比较[J].中国民康医学,2022,34(2):153-155.
[5] 郑丽娜,丁辉,王修齐,等.氩离子凝固术治疗消化道病变导致穿孔并发症13例分析[J].中华胃肠内镜电子杂志,2016,3(2):61-64.
[6] 翟慧莉,李鹏飞,胡珊珊,等.氩离子凝固术导致离体猪胃穿孔实验研究[J].中华实用诊断与治疗杂志,2017,31(10): 947-949.