{"meta":{"id":"https:\/\/api.iclient.ifeng.com\/ipadtestdoc?aid=ucms_7ygmipXZHZS","type":"doc","o":"1","documentId":"ucms_7ygmipXZHZS"},"body":{"newStatus":"1","documentId":"ucms_7ygmipXZHZS","staticId":"ucms_7ygmipXZHZS","title":"食管“开隧道”,60分钟解决十年吃饭难题","shareTitle":"食管“开隧道”,60分钟解决十年吃饭难题","thumbnail":"http:\/\/d.ifengimg.com\/w150_h106_q100\/x0.ifengimg.com\/res\/2020\/8650DE6F36EE14FBF10AAC81F5331751F6F7E8F3_size35_w640_h427.jpeg","source":"品质医声","author":"","editorcode":"weMedia","editTime":"2020-08-05 14:51:37","updateTime":"2020\/08\/05 14:51:37","wapurl":"http:\/\/\/\/feng.ifeng.com\/c\/7ygmipXZHZS","introduction":"","wwwurl":"http:\/\/\/\/feng.ifeng.com\/c\/7ygmipXZHZS","commentsUrl":"ucms_7ygmipXZHZS","commentCount":0,"text":"
近日,宁乡市人民医院消化内科成功开展本市首例经口内镜下肌切开术(peroral endoscopic myotomy,POEM),为一名贲门失弛缓症患者摆脱十年顽疾困扰。<\/p>
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目前,该手术仅能在省级医院实施,我院的成功开展,也标志着我院消化内镜技术取得了长足进步,进入省内先进行列。<\/p>
51岁精准扶贫贫困户钟某,被“反复吞咽困难、进食后呕吐”困扰十余年之久。多年来,钟某反复就医未果,均以反流性食管炎、慢性胃炎症状进行药物治疗。2019年,钟某感到吞咽困难加重,严重影响生活质量前来我院就诊,经过消化道造影及胃镜检查确诊为 ——贲门失弛缓症 。<\/p>
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钟某因恐惧外科开胸手术治疗的创伤和痛苦,选择保守的药物治疗,但效果欠佳。更因长期不能正常进食,骨瘦如柴,导致不能从事正常体力劳动,让原本就拮据的家庭更加雪上加霜。日前,钟某因症状加重再次前来我院就诊,接诊医生许磊告诉钟某,我院目前可开展国际先进的经口内镜下肌切开术(POEM手术),并向其详细介绍了本病的特点和手术的方式。<\/p>
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经过医生的详细解答,患者钟某决定选择内镜手术进行治疗,科室积极完善术前准备后,7月21日,在麻醉科和手术室的大力支持下,由医院消化内科副主任、副主任医师喻文强主刀,主治医师许磊等密切配合,全麻下为患者行经口内镜下肌切开术。<\/p>
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术中通过内镜器械在食管内开辟一条 “隧道”,切开食管周围的环形肌肉,从而松解痉挛的贲门扩约肌,最后利用金属钛夹封闭“隧道”入口。该手术仅用时50分钟,术中精准操作,无出血等相关并发症,术后安返病房。<\/p>
7月23日,我院消化内科再次为因反复进食梗阻,近期发生过急性食物嵌顿的61岁患者李阿姨行POEM手术,手术用时40分钟,两人术后均恢复良好,术后3天恢复饮食,术后一周顺利出院。<\/p>
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出院时,患者钟某为我院消化内科点赞,由衷感谢地说道:“十年了,我从来没有像现在这样顺畅的把食物吞下去,真的非常感谢宁乡市人民医院的医务人员。”值得一提的是,钟某此次住院总费用仅为省级医院费用的三分之一,经过精准扶贫医保报销后仅自负1000余元,大大减轻了患者的经济负担。<\/p>","img":[{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/res\/2020\/86ABED9A13FDC4DD2E6693E83B76E7F3725AD866_size32_w640_h427.jpeg","size":{"width":"640","height":"427"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/res\/2020\/85555FA29D4F158397C400427D15B6DAAAC48E79_size39_w512_h512.jpeg","size":{"width":"512","height":"512"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/res\/2020\/6AFB4E5687F5860D99E79AB07CBE7D429AB69779_size68_w640_h853.jpeg","size":{"width":"640","height":"853"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/res\/2020\/26FFC0523B50014C5B371BB3DA99A31039F640DA_size76_w640_h853.jpeg","size":{"width":"640","height":"853"}},{"url":"http:\/\/d.ifengimg.com\/mw640_q100\/x0.ifengimg.com\/res\/2020\/8650DE6F36EE14FBF10AAC81F5331751F6F7E8F3_size35_w640_h427.jpeg","size":{"width":"640","height":"427"}}],"summary":"近日,宁乡市人民医院消化内科成功开展本市首例经口内镜下肌切开术(peroralendoscopicmyotomy,POEM),为一名贲门失弛缓症患者摆脱十年顽疾","sharesummary":"近日,宁乡市人民医院消化内科成功开展本市首例经口内镜下肌切开术(peroralendoscopicmyotomy,POEM),为一名贲门失弛缓症患者摆脱十年顽疾","commentType":"0","wemediaEAccountId":"1037901","showclient":"0","shareurl":"https:\/\/ishare.ifeng.com\/c\/s\/v002O74Qax2brLi4JPsTwRUgAgSstiZ4blNWt3dB9-_BcIw0__","praise":"0","like_num":"0"}}