Ecker M D, Goldstein M, Hoexter B, Hyman R A, Naidich J B, Stein H L
Gastroenterology. 1977 Aug;73(2):226-30.
A prospective study of 100 consecutive unselected patients undergoing both diagnostic and therapeutic firoptic colonoscopy was undertaken. Our incidence of colonic perforation is 1%, which is similar to the incidence reported in the literature. This study suggests that even when immediate postcolonoscopic supine and erect abdominal radiographs as well as pre- and postcolonoscopic total blood counts and enzyme levels to supplement clinical impressions are obtained, the incidence of perforation of the colon after fiberoptic colonoscopy is low and not any higher than that reported in the literature. Pneumoperitoneum may occur after fiberoptic colonoscopy with minimal or no clinical evidence suggesting perforation. Perforation in some patients may be treated conservatively without the need of emergency laparotomy.
对100例连续接受诊断性和治疗性纤维光学结肠镜检查的未经过挑选的患者进行了一项前瞻性研究。我们的结肠穿孔发生率为1%，这与文献报道的发生率相似。本研究表明，即使在结肠镜检查后立即进行仰卧位和立位腹部X线片检查，以及在结肠镜检查前后进行全血细胞计数和酶水平检测以辅助临床判断，纤维光学结肠镜检查后结肠穿孔的发生率仍然很低，并不高于文献报道的发生率。纤维光学结肠镜检查后可能会出现气腹，而几乎没有或没有临床证据提示穿孔。一些患者的穿孔可以保守治疗，无需急诊剖腹手术。
