透明帽辅助内镜下食管异物治疗术的疗效分析

发布时间：2018-01-19 23:19

本文关键词： 透明帽食管异物内镜治疗　出处：《中国内镜杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的比较透明帽辅助内镜下食管异物取出术及传统内镜下异物取出术的疗效差异。方法选取96例食管异物嵌顿患者随机分成两组,分别施行透明帽辅助内镜下异物取出术(简称透明帽组)或传统内镜下异物取出术(简称传统组),收集两组患者各项临床资料,同时记录其接受内镜下治疗的成功情况、内镜下操作时间、内镜下视野清晰度以及并发症发生情况等数据并进行统计分析。结果接受透明帽辅助内镜下异物取出术的48例患者,均成功完成异物取出治疗,另外48例接受传统内镜下异物取出患者中有46例成功,另外2例转为透明帽辅助下异物取出后成功(成功率95.83%),两组的成功率比较差异无统计学意义(P0.05);透明帽组的平均内镜下操作时间为(8.29±2.83)min,传统组的平均内镜下操作时间为(10.69±3.19)min,两组比较差异无统计学意义(P0.05);内镜下视野清晰度方面,透明帽组视野清晰度A级45例,B级3例,传统组视野清晰度A级35例,B级11例,C级2例,两组间比较差异有统计学意义(P=0.020);所有96例患者均未出现严重出血、穿孔及死亡等并发症。结论透明帽辅助内镜下食管异物取出术是一种安全有效的内镜下异物治疗方案,其可提供更好的内镜下操作视野,有利于提高手术成功率,值得进一步推广应用。
[Abstract]:Objective to compare the curative effect of endoscopic foreign body extraction with transparent cap and traditional endoscopic foreign body removal. Methods 96 patients with esophageal foreign body incarceration were randomly divided into two groups. The clinical data of the two groups were collected by using the transparent cap assisted endoscopic foreign body removal (referred to as the transparent cap group) or the traditional endoscopic foreign body removal operation (referred to as the traditional group for short). At the same time, the success of endoscopic therapy was recorded, and the operating time of endoscopy was also recorded. Results 48 patients who received transparent cap assisted endoscopic foreign body removal successfully completed the treatment of foreign body removal. In the other 48 cases, 46 cases were successfully removed under traditional endoscopy, and the other 2 cases were successfully removed under transparent cap (success rate 95.83). There was no significant difference in the success rate between the two groups (P 0.05). The mean endoscopic operating time was 8.29 卤2.83 min in the transparent cap group and 10.69 卤3.19 min in the traditional group. There was no significant difference between the two groups (P 0.05). In endoscopic visual field articulation, 45 cases of grade A and 3 cases of grade B in transparent cap group, and 35 cases in traditional group, 11 cases in grade B and 2 cases in grade C. The difference between the two groups was statistically significant. All the 96 patients had no complications such as severe bleeding, perforation and death. Conclusion the hyaline cap assisted endoscopic foreign body removal is a safe and effective method for the treatment of foreign body under endoscope. It can provide a better operative visual field under endoscope and improve the success rate of operation. It is worth popularizing and applying further.
【作者单位】：西安交通大学第二附属医院消化内科;
【基金】：西安交通大学第二附属医院人才培养专项科研基金(No:RC(BL)201301)
【分类号】：R768.4
【正文快照】： 食管异物嵌顿多发生于食管的三个生理性狭窄处,其中又以食管入口处最为常见[1]。食管管腔相对狭小,传统的内镜下异物治疗过程中因内镜下视野暴露不良所致操作困难或导致操作时间明显延长的病例时有发生,一定程度上影响了内镜下治疗的疗效。近年有报道[2-3]提倡内镜头端安装透

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