中国实用外科杂志2025，Vol.45Issue(3)：304-308,5.DOI:10.19538/j.cjps.issn1005-2208.2025.03.13
内镜技术在肠瘘诊治中的应用
Clinical application of endoscopic closure in the diagnosis and treatment of intestinal fistula
摘要
Abstract
Intestinal fistula is a common complication after abdominal surgery,often leading to severe issues such as intra-abdominal infections,bleeding,and multiple organ dysfunction.The condition typically has a prolonged course and complex treatment.With the rapid development of endoscopic technology,early endoscopic closure of intestinal fistulas has become possible.Compared with traditional surgical treatment,endoscopic treatment has the advantages of minimal trauma,fewer complications,and ease of operation,making it an important method for treating intestinal fistulas.Commonly used endoscopic treatment techniques include metal clips,stent placement,endoscopic suturing,and tissue sealants.The treatment of intestinal fistulas has evolved from traditional surgery to endoscopic therapy,with the advantages of endoscopic technology in minimally invasive treatment being widely recognized.In recent years,continuous innovations in endoscopic treatment methods have significantly improved the effectiveness of intestinal fistula treatment.Stent therapy is one of the commonly used techniques,especially self-expanding metal stents(SEMS),which have shown high success rates and low complication rates in the treatment of intestinal fistulas.Metal clip techniques and endoscopic suturing techniques also have good prospects,with the OTSC metal clip showing significant effectiveness in treating gastrointestinal fistulas.The key to endoscopic treatment is selecting the appropriate treatment method based on the patient's specific condition.When the disease course is short and the fistula has minimal fibrosis,techniques such as OTSC can achieve good therapeutic results.The continuous development and optimization of endoscopic technology provide new hope for the treatment of intestinal fistulas,and further clinical research is needed to verify the long-term effects of different endoscopic treatment methods and their broad applications in the treatment of intestinal fistulas.关键词
肠瘘/腹部手术/内镜治疗/金属夹/自膨胀金属支架/内镜缝合/组织密封剂/微创治疗Key words
intestinal fistula/abdominal surgery/endoscopic treatment/metal clips/self-expanding metal stents/endoscop-ic suturing/tissue sealants/minimally invasive treatment分类
临床医学引用本文复制引用
张娟娟,汪志明..内镜技术在肠瘘诊治中的应用[J].中国实用外科杂志,2025,45(3):304-308,5.基金项目
国家自然科学基金面上项目(No.82170581) National Natural Science Foundation of China(General Program,No.82170581) （No.82170581）
