食管穿孔属于临床急症,可继发严重感染而危及生命。传统治疗方式主要通过外科开放性手术,但并发症发生率和病死率较高。随着内镜辅助器械和穿孔闭合技术的发展,内镜下闭合食管穿孔或缺损创伤小、恢复快,现已成为食管穿孔治疗的首选。而不同的闭合技术各有利弊,本文就食管穿孔的内镜诊治现状和研究进展作一综述。
Esophageal perforation is a clinical emergency, which can be secondary to serious infection and threaten life. Traditional treatment is mainly through surgical open surgery, but the incidence of complications and mortality are higher. With the development of endoscopic aids and perforation closure techniques, endoscopic closure of esophageal perforation or defects has small trauma and fast recovery, and has now become the first choice for esophageal perforation therapy. Different closure techniques have their own advantages and disadvantages. In this paper, a review will be on the current situation and research progress of endoscopic diagnosis and treatment of esophageal perforation.