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| 1 | 腹腔镜胃穿孔修补术治疗急性胃穿孔的疗效观察及对患者术后生活质量的影响显示文摘目的探究腹腔镜胃穿孔修补术治疗急性胃穿孔的疗效及对患者术后生活质量的影响。方法选取急性胃穿孔患者66例,依据手术方案分为实验组和对照组,每组33例。实验组行腹腔镜胃穿孔修补术,对照组行开腹胃穿孔修补术。统计比较两组围术期相关指标、术后并发症发生率;随访6个月,统计复发率,并比较两组生活质量。结果两组手术用时比较差异未见统计学意义(P〉0.05);实验组术中出血量少于对照组,术后胃肠功能恢复、下床活动及出院时间均短于对照组(P〈0.05);实验组术后并发症发生率为6.06%(2/33),低于对照组的30.30%(10/33),P〈0.05。随访6个月后,实验组复发率为6.06%(2/33),低于对照组的27.27%(9/33),P〈0.05。两组术前生活质量评分比较差异均未见统计学意义(P均〉0.05);与对照组比较,实验组术后生理功能、精力、精神状态、健康状况评分均较高(P均〈0.05)。结论腹腔镜胃穿孔修补术可明显减少急性胃穿孔患者术中出血量及术后并发症发生率,有效促进患者术后康复,显著降低复发率,进一步提高患者生活质量,在临床治疗中值得推广应用。 | 牛文凯 | 2018 | 中国实用医刊2018，45，5： | 16 |
| 2 | Endoscopic band ligation: Beyond prevention and management of gastroesophageal varices显示文摘Endoscopic band ligation (EBL) is the preferred endoscopic technique for the endoscopic treatment of acute esophageal variceal bleeding. EBL has also been used to treat nonvariceal bleeding. Recently, Han et al demonstrated that EBL can be a feasible and safe alternate technique for the management of iatrogenic gastric perforation especially in cases in which closure with endoclips is difficult. EBL is technically simpler to perform than other methods and provides a good view of the lesions under direct pressure and suction from the transparent ligation cap. EBL can be used even if the diameter of the perforation is greater than 10 mm or if there is a severe tangential angle. In this commentary, we discuss the efficacy and safety of EBL for the closure of iatrogenic gastrointestinal perforation. We also discuss the advantages and disadvantages of EBL for the treatment of nonvariceal bleeding. | Jeong-Seon Ji Young-Seok Cho | 2013 | World Journal of Gastroenterology2013，19，27： | 8 |
| 3 | 腹腔镜胃穿孔修补对术后胃肠功能恢复及生活质量的影响显示文摘目的研究探讨腹腔镜胃穿孔修补对术后胃肠功能恢复及生活质量的影响。方法选取2014年1月~2018年6月我院收治的60例胃穿孔修补患者作为研究对象,随机均分为两组各30例,以开腹穿孔修复为对照组,以腹腔镜胃穿孔修补为观察组,分析腹腔镜胃穿孔修补的价值所在,并比较两组的胃肠道功能恢复情况,首次进食时间、首次排气时间、下次活动时间、血清胃泌素水平、生活质量。结果观察组首次进食时间为(45.55±8.73)min、首次排气时间为(3.51±1.15)min,下床活动时间为(3.5±1.58)d,对照组首次进食时间为(50.43±9.05)min、首次排气时间为(5.42±1.21)min,下床活动时间为(5.2±1.12)d,观察组生活质量优于对照组,差异有统计学意义(P<0.05)。结论对于胃穿孔修补患者,采取腹腔镜胃穿孔修补术治疗,效果显著,可以减少患者的胃肠道功能恢复时间,促进肛门排气排便,改善术后生活质量,安全性较高,值得在今后的治疗过程中应用。 | 唐健荣 | 2019 | 中国医药科学2019，9，14： | 2 |
| 4 | New devices and techniques for endoscopic closure of gastrointestinal perforations显示文摘Gastrointestinal perforations,which need to be managed quickly,are associated with high morbidity and mortality. Treatments used to close these perforations range from surgery to endoscopic therapy. Nowadays,with the development of new devices and techniques,endoscopic therapy is becoming more popular. However,there are different indications and clinical efficacies between different methods,because of the diverse properties of endoscopic devices and techniques. Successful management also depends on other factors,such as the precise location of the perforation,its size and the length of time between the occurrence and diagnosis. In this study,we performed a comprehensive review of various devices and intro-duced the different techniques that are considered effective to treat gastrointestinal perforations. In addition,we focused on the different methods used to achieve successful closure,based on the literature and our clinical experiences. | Yue Li Jian-Hua Wu Yan Meng Qiang Zhang Wei Gong Si-De Liu | 2016 | World Journal of Gastroenterology2016，22，33： | 1 |
| 5 | Endoscopic management of iatrogenic gastrointestinal perforations显示文摘Iatrogenic perforation(IP)is a rare but severe complication of endoscopy,and occurrences grow with the expansion of interventional endoscopy.Apart from symptoms and physical signs,CT scans provide an immediate and comprehensive diagnosis of IP and its severity.The general treatment is broad-spectrum antibiotics,intravenous nutrition,and close monitoring.Endoscopic treatments are considered as the first-line therapy.Endoclips are usually utilized for small perforations,while endoclips with endoloops and over the scope clip system are preferred for large ones.Covered self-expandable metal stents are effective for esophageal perforations.Fibrin glue and band ligation can be attempted,when the location of perforation is difficult for the clip placement.Close observation is required after the procedure.If endoscopic closure fails or deterioration occurs,surgical treatments should be requested. | Kan Wang Jihao Shi Linna Ye | 2019 | Laparoscopic, Endoscopic and Robotic Surgery2019，2，2： | 0 |
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