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中华胃肠内镜电子杂志 ›› 2019, Vol. 06 ›› Issue (04) : 180 -185. doi: 10.3877/cma.j.issn.2095-7157.2019.04.007

所属专题: 文献

综述

牵引技术在内镜黏膜下剥离术中的应用进展
高勇1, 樊超强1,(), 柏健鹰1   
  1. 1. 400037 重庆,陆军军医大学新桥医院消化内科
  • 收稿日期:2019-11-05 出版日期:2019-11-15
  • 通信作者: 樊超强

Application progress of traction technique in endoscopic submucosal dissection

Yong Gao1, Chaoqiang Fan1,(), Jianying Bai1   

  1. 1. Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China
  • Received:2019-11-05 Published:2019-11-15
  • Corresponding author: Chaoqiang Fan
  • About author:
    Correspondent Author: Fan Chaoqiang, Email:
引用本文:

高勇, 樊超强, 柏健鹰. 牵引技术在内镜黏膜下剥离术中的应用进展[J]. 中华胃肠内镜电子杂志, 2019, 06(04): 180-185.

Yong Gao, Chaoqiang Fan, Jianying Bai. Application progress of traction technique in endoscopic submucosal dissection[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2019, 06(04): 180-185.

内镜黏膜下剥离术(ESD)具有创伤小、恢复快、费用低等优点。但ESD操作难度较大,容易出现出血、穿孔等严重并发症,良好的手术视野是减少并发症的关键,牵引技术可以使手术视野变得更加清晰,各种牵引方法都有其自身的优缺点,结合本单位开展ESD的经验体会,本文对各种牵引技术进行综述,以供临床参考。

Endoscopic submucosal dissection (ESD) has the advantages of minor trauma, fast recovery and low cost. However, ESD is difficult to operate and is prone to serious complications such as bleeding and perforation. Good surgical field of vision is the key to reduce complications. Traction technique can make the surgical field more clear. Various traction methods have their own advantages and disadvantages. Combined with the experience of ESD in our unit, this article reviews various traction techniques for clinical reference.

图1 体位改变法
图2 带线钛夹牵引法
图3 带线滑轮牵引
图4 橡皮环内牵引法
图5 钛夹圈套器牵引法
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