近年来国内外应用纤维结肠镜检查,使结肠疾病的诊断有很大的进展。在直视下对病变的形态和部位的判定,尤其是取组织病理检查区分疾病的性质都有很大的价值。不仅应用于诊断,而且应用于各种治疗,如息肉切除等。现就操作方面谈几点体会:1.术前要详细检查纤维结肠镜各部件的性能是否完好。如物目镜的清晰,充水充气,吸引系统,活检孔,活检钳等性能;2.镜检前先做肛诊检查,注意有无内外痔、肛裂和直肠疾病。肛门和镜身涂一层润滑剂(最好是甲基硅油);3.一般病人的体位多采取左侧卧位,屈膝姿势,以后根据进镜的需要再改变体位;4.一般在进镜时助手帮助将镜进入5厘米左右,术者调方向钮或注入少量气体寻找肠腔。若仍找不到肠腔,就应该缓慢地退镜寻找。不能未见肠腔盲 In recent years, the application of colonoscopy at home and abroad, so that the diagnosis of colon disease have made great progress. Under direct vision of the lesion morphology and location of the judgment, especially the histopathological examination to distinguish the nature of the disease have great value. Not only used in the diagnosis, but also for a variety of treatment, such as polypectomy. Now talk about the operation of a few experiences: 1. preoperative detailed examination of the performance of the various components of the colonoscopy is intact. Such as the clear eyepiece, filling inflatable, suction system, biopsy hole, biopsy forceps and other performance; 2 mirror before doing anal examination, with or without internal and external hemorrhoids, anal fissure and rectal disease. Anal and mirror coated with a layer of lubricant (preferably methyl silicone oil); 3. The general patient’s position to take the left lateral position, knee posture, later according to the needs of the mirror and then change position; 4. Generally into the mirror When the assistant helps the mirror into about 5 cm, the surgeon adjust the button or a small amount of gas into the intestine. If you still can not find the intestine, you should slowly look for the mirror. No intestinal blindness can not be seen