2026-07-001 综述 2026, 2(07): 1-4

十二指肠镜抬钳器相关医院感染现状与再处理技术进展

胡若萌杨千千刘金元林威娜张雪敏许程袁薇

昆明医科大学护理学院 2.昆明医科大学第二附属医院 3.昆明医科大学第一附属医院 4.昆明医科大学第三附属医院

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摘要

用于内镜逆行胰胆管造影术（ERCP）的十二指肠镜，其配备的专用抬钳器结构可为胰胆管疾病诊疗提供操作便利，但该部位因具有多关节活动构造、狭小缝隙且易残留有机物的特性，被列为软式内镜相关医院感染高风险区域。本文针对十二指肠镜抬钳器的结构特点、十二指肠镜抬钳器感染现况、十二指肠镜抬钳器感染的机制与风险因素、抬钳器灭菌与消毒技术进展、十二指肠镜抬钳器未来的研究方向等多个方面开展系统梳理，旨在为临床内镜中心优化再处理流程、降低医院感染风险、推动新技术临床应用提供理论参考。

Abstract

Duodenoscopes used for endoscopic retrograde cholangiopancreatography(ERCP) are equipped with a specialized elevator mechanism that facilitates diagnosis and treatment of biliary and pancreatic diseases. However, due to its complex multi-joint structure, narrow crevices, and tendency to retain organic material, this component is classified as a high-risk area for healthcare-associated infection associated with flexible endoscopes. This article systematically reviews various aspects including the structural characteristics of duodenoscope elevators, current infection status, mechanisms and risk factors for elevator contamination, advances in sterilization and disinfection techniques, and future research directions. The aim is to provide theoretical guidance for clinical endoscopy centers to optimize reprocessing procedures, reduce the risk of healthcare-associated infections, and promote the clinical application of new technologies.

关键词

十二指肠镜抬钳器医院感染生物膜灭菌技术

KeyWords

duodenoscope elevator healthcare-associated infection biofilm sterilization technology

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参考文献

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文章编号	`2026-07-001`（期号内编号）
栏目	综述
作者	胡若萌;杨千千;刘金元;林威娜;张雪敏;许程;袁薇
作者单位	昆明医科大学护理学院 2.昆明医科大学第二附属医院 3.昆明医科大学第一附属医院 4.昆明医科大学第三附属医院
中图分类号	R197.323
卷期页码	2026, 2(07): 1-4
发布时间	2026-10-15
出版时间	2026-10-15
引用信息	[1]胡若萌,杨千千,刘金元,等.十二指肠镜抬钳器相关医院感染现状与再处理技术进展[J].疾病预防与控制,2026,2(07):1-4.
全文地址	在知网查看该文（kns.cnki.net）
数据抓取时间	2026-11-03T03:30:14