本文關(guān)鍵詞： 透明帽 食管異物 內(nèi)鏡治療　出處：《中國(guó)內(nèi)鏡雜志》2017年07期 　論文類型：期刊論文

【摘要】：目的比較透明帽輔助內(nèi)鏡下食管異物取出術(shù)及傳統(tǒng)內(nèi)鏡下異物取出術(shù)的療效差異。方法選取96例食管異物嵌頓患者隨機(jī)分成兩組,分別施行透明帽輔助內(nèi)鏡下異物取出術(shù)(簡(jiǎn)稱透明帽組)或傳統(tǒng)內(nèi)鏡下異物取出術(shù)(簡(jiǎn)稱傳統(tǒng)組),收集兩組患者各項(xiàng)臨床資料,同時(shí)記錄其接受內(nèi)鏡下治療的成功情況、內(nèi)鏡下操作時(shí)間、內(nèi)鏡下視野清晰度以及并發(fā)癥發(fā)生情況等數(shù)據(jù)并進(jìn)行統(tǒng)計(jì)分析。結(jié)果接受透明帽輔助內(nèi)鏡下異物取出術(shù)的48例患者,均成功完成異物取出治療,另外48例接受傳統(tǒng)內(nèi)鏡下異物取出患者中有46例成功,另外2例轉(zhuǎn)為透明帽輔助下異物取出后成功(成功率95.83%),兩組的成功率比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);透明帽組的平均內(nèi)鏡下操作時(shí)間為(8.29±2.83)min,傳統(tǒng)組的平均內(nèi)鏡下操作時(shí)間為(10.69±3.19)min,兩組比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);內(nèi)鏡下視野清晰度方面,透明帽組視野清晰度A級(jí)45例,B級(jí)3例,傳統(tǒng)組視野清晰度A級(jí)35例,B級(jí)11例,C級(jí)2例,兩組間比較差異有統(tǒng)計(jì)學(xué)意義(P=0.020);所有96例患者均未出現(xiàn)嚴(yán)重出血、穿孔及死亡等并發(fā)癥。結(jié)論透明帽輔助內(nèi)鏡下食管異物取出術(shù)是一種安全有效的內(nèi)鏡下異物治療方案,其可提供更好的內(nèi)鏡下操作視野,有利于提高手術(shù)成功率,值得進(jìn)一步推廣應(yīng)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 鹵2.83 min in the transparent cap group and 10.69 鹵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.
【作者單位】： 西安交通大學(xué)第二附屬醫(yī)院消化內(nèi)科;
【基金】：西安交通大學(xué)第二附屬醫(yī)院人才培養(yǎng)專項(xiàng)科研基金(No:RC(BL)201301)
【分類號(hào)】：R768.4
【正文快照】： 食管異物嵌頓多發(fā)生于食管的三個(gè)生理性狹窄處,其中又以食管入口處最為常見[1]。食管管腔相對(duì)狹小,傳統(tǒng)的內(nèi)鏡下異物治療過(guò)程中因內(nèi)鏡下視野暴露不良所致操作困難或?qū)е虏僮鲿r(shí)間明顯延長(zhǎng)的病例時(shí)有發(fā)生,一定程度上影響了內(nèi)鏡下治療的療效。近年有報(bào)道[2-3]提倡內(nèi)鏡頭端安裝透

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