OTSC金属夹在封闭急性医源性消化道穿孔中的临床应用

摘要： 目的??评估内镜下Over-The-Scope-Clip system（OTSC）金属夹闭合医源性消化道穿孔的效果。方法?对OTSC夹闭的11例急性医源性消化道穿孔病例进行了回顾性分析。其中，胃穿孔7例，十二指肠穿孔1例，结直肠穿孔3例。结果?11例患者均及时成功地进行了内镜下OTSC封闭，平均内镜下封闭术所需时间为6～15 min，封闭穿孔直径0.6～3.7 cm。结论?内镜下OTSC夹闭术对急性医源性消化道穿孔疗效可靠，值得推广使用。
Abstract: Objective?To evaluate the efficacy of endoscopic Over-The-Scope-Clip system (OTSC) system for the acute iatrogenic digestive tract perforation.?Methods?To collect 11 cases with digestive tract perforation closed with the OTSC system, including 7cases of gastric perforation, 1 case of duodenal perforation,3 cases of colorectal perforation.?Results?11 cases were successfully closed with OTSC system in time, the average time needed for the endoscopic closure is 6~15 min. And the perforation diameter is 0.6~3.7 cm, average diameter is (1.89 ± 0.27) cm. No intraoperative bleeding and delayed hemorrhages, no deaths occurred.?Conclusion?Endoscopic OTSC system is a successful method for the digestive tract perforation and is worth to popularize.