金属夹钳夹息肉根部联合高频电切致电凝综合征1例分析

Analysis of a Case of Metal Clip Clamped Polyp Root Combined with High Frequency Electric Cutting and Occlusion Syndrome

摘要: [目的]优化结肠息肉内镜治疗方法，减少电凝切除术后并发症的发生。[方法]分析结肠息肉治疗术后电凝综合征产生的相关因素及回顾相关文献。[结果]对1例粗蒂息肉预先应用金属夹钳夹息肉根部联合高频电切，术后出现电凝综合征的原因进行仔细分析。[结论]电流经金属夹干扰及损伤黏膜可能导致电凝综合征发生，治疗时应注意金属夹与圈套器保持适当距离，并增加粘膜层和粘膜下层之间的厚度，有利于提高内镜治疗安全性。

Abstract: [Objective] To optimize endoscopic treatment of colon polyps and reduce the incidence of compli-cations after electrocoagulation. [Methods] The related factors of postoperative electrocoagulation syndrome in colon polyps are analyzed and related literatures are reviewed. [Results] A case of crude pedicle polyps was pre-applied with metal clamps and polyp root combined with high-frequency electric resection. The causes of electrocoagulation syndrome were analyzed carefully. [Conclusion] Current interference with metal clip and damage of mucosa may lead to electrocoagulation syndrome. Attention should be paid to the proper distance between the metal clip and the snare, and increase the thickness between the mucosa and the submucosa, which is beneficial to improve endoscopic treatment safety.