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用于结肠镜息肉切除术的内镜器械和电外科设备

Endoscopic Instruments and Electrosurgical Unit for Colonoscopic Polypectomy.

作者信息

Park Hong Jun

机构信息

Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.

出版信息

Clin Endosc. 2016 Jul;49(4):350-4. doi: 10.5946/ce.2016.059. Epub 2016 Jul 11.

DOI:10.5946/ce.2016.059
PMID:27399313
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4977736/
Abstract

Colorectal polypectomy is an effective method for prevention of colorectal cancer. Many endoscopic instruments have been used for colorectal polypectomy, such as snares, forceps, endoscopic clips, a Coagrasper, retrieval net, injector, and electrosurgery generator unit (ESU). Understanding the characteristics of endoscopic instruments and their proper use according to morphology and size of the colorectal polyp will enable endoscopists to perform effective polypectomy. I reviewed the characteristics of endoscopic instruments for colorectal polypectomy and their appropriate use, as well as the basic principles and settings of the ESU.

摘要

大肠息肉切除术是预防结直肠癌的有效方法。许多内镜器械已被用于大肠息肉切除术，如圈套器、活检钳、内镜夹、电凝器、回收网、注射器和高频电刀发生器。了解内镜器械的特点，并根据大肠息肉的形态和大小正确使用，将使内镜医师能够进行有效的息肉切除术。我回顾了用于大肠息肉切除术的内镜器械的特点及其正确使用方法，以及高频电刀发生器的基本原理和设置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/1fcdbe6110a2/ce-2016-059f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/9d21d8d79de6/ce-2016-059f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/3d0cfe47783f/ce-2016-059f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/dce79a39bea7/ce-2016-059f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/5ef6f757aaed/ce-2016-059f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/1fcdbe6110a2/ce-2016-059f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/9d21d8d79de6/ce-2016-059f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/3d0cfe47783f/ce-2016-059f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/dce79a39bea7/ce-2016-059f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/5ef6f757aaed/ce-2016-059f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b42/4977736/1fcdbe6110a2/ce-2016-059f5.jpg

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本文引用的文献

1
Cold snare polypectomy vs. Cold forceps polypectomy using double-biopsy technique for removal of diminutive colorectal polyps: a prospective randomized study.冷圈套息肉切除术与冷活检钳息肉切除术联合双活检技术用于切除微小结直肠息肉的前瞻性随机研究。
Am J Gastroenterol. 2013 Oct;108(10):1593-600. doi: 10.1038/ajg.2013.302. Epub 2013 Sep 17.
2
[A Korean national survey for colorectal cancer screening and polyp diagnosis methods using web-based survey].[一项关于使用基于网络的调查进行结直肠癌筛查和息肉诊断方法的韩国全国性调查]
Korean J Gastroenterol. 2012 Jul;60(1):26-35. doi: 10.4166/kjg.2012.60.1.26.
3
Korean guideline for colonoscopic polypectomy.
韩国结肠镜息肉切除术指南。
Clin Endosc. 2012 Mar;45(1):11-24. doi: 10.5946/ce.2012.45.1.11. Epub 2012 Mar 31.
4
Prevalence of advanced adenomas in small and diminutive colon polyps using direct measurement of size.直接测量大小在小和微小结肠息肉中检测高级腺瘤的患病率。
Dig Dis Sci. 2011 Aug;56(8):2384-8. doi: 10.1007/s10620-011-1598-x. Epub 2011 Feb 12.
5
Current affairs: electrosurgery in the endoscopy suite.时事：内镜室中的电外科手术
Gastrointest Endosc. 2010 Nov;72(5):1044-6. doi: 10.1016/j.gie.2010.08.045.
6
Colonoscopic polypectomy and associated techniques.结肠镜息肉切除术及相关技术。
World J Gastroenterol. 2010 Aug 7;16(29):3630-7. doi: 10.3748/wjg.v16.i29.3630.
7
Electrosurgery in gastrointestinal endoscopy: principles to practice.胃肠内镜检查中的电外科手术：从原理到实践
Am J Gastroenterol. 2009 Jun;104(6):1563-74. doi: 10.1038/ajg.2009.105. Epub 2009 Apr 21.
8
How much does colonoscopy reduce colon cancer mortality?结肠镜检查能降低多少结肠癌死亡率？
Ann Intern Med. 2009 Jan 6;150(1):50-2. doi: 10.7326/0003-4819-150-1-200901060-00308. Epub 2008 Dec 15.
9
Association of colonoscopy and death from colorectal cancer.结肠镜检查与结直肠癌死亡的关联。
Ann Intern Med. 2009 Jan 6;150(1):1-8. doi: 10.7326/0003-4819-150-1-200901060-00306. Epub 2008 Dec 15.
10
Diagnostic quality of: polyps resected by snare polypectomy: does the type of electrosurgical current used matter?圈套器息肉切除术切除的息肉的诊断质量：所使用的电外科电流类型是否重要？
Am J Gastroenterol. 2006 Sep;101(9):2123-7. doi: 10.1111/j.1572-0241.2006.00696.x. Epub 2006 Jul 18.