摘要
目的探讨电子胃镜加用透明帽对食管异物取出手术的辅助效果。方法前瞻性选取2017年5月至2019年12月在哈尔滨医科大学附属第一医院完成食管异物取出手术的患者42例。根据随机数字的方法将全部患者分为对照组和观察组,每组21例。对照组采用常规的方法使用电子胃镜将异物取出,观察组采用电子胃镜联合使用透明帽将异物取出。比较2组的治疗耐受性、异物取出时间消耗情况、手术视野清晰情况、异物取出成功率情况、异物取出后的并发症情况。结果观察组的治疗耐受性优于对照组(优5例/良14例/差2例vs.优1例/良13例/差7例)(P<0.05)。观察组在食管上段、中段、下段的异物取出时间均短于对照组[(6.27±1.01)min vs.(7.51±2.02)min,(8.62±1.11)min vs.(12.07±1.13)min,(11.07±1.26)min vs.(15.47±1.29)min](P<0.05)。观察组的总体异物取出成功率高于对照组(100.00%vs.71.43%)(P<0.05);观察组在食管上段的异物取出成功率高于对照组[100.00%vs.62.50%](P<0.05);2组在食管中段(100.00%vs.100.00%)和下段(100.00%vs.100.00%)的异物取出成功率数据差异无统计学意义(P>0.05)。观察组的手术视野清晰度优于对照组(80.95%vs.52.38%)(P<0.05)。观察组在异物取出后的并发症发生率低于对照组(14.29%vs.42.86%)(P<0.05)。结论电子胃镜加用透明帽完成食管异物取出手术,可以提升患者的耐受性,降低异物取出的难度,为医师提供良好视野,缩减手术耗时,提升操作成功率,降低并发症。
Objective To explore the auxiliary effect of electronic gastroscope with transparent caps on the operation of esophageal foreign body removal.Methods Prospectively selected 42 patients who completed the removal of esophageal foreign body in the First Affiliated Hospital of Harbin Medical University from May 2017 to December 2019.According to the random number method,all patients were divided into a control group and an observation group,with 21 cases in each group.The control group used a conventional method to use electronic gastroscope to remove the foreign body,and the observation group used the electronic gastroscope to combine transparent caps to remove the foreign body.The treatment tolerance,time consumption of foreign body removal,clear surgical vision,success rate of foreign body removal,and complications after foreign body removal were compared between the two groups.Results The treatment tolerance of the observation group was better than that of the control group(excellent 5 cases/good 14 cases/poor 2 cases vs.excellent 1 case/good 13 cases/poor 7 cases)(P<0.05).The removal time of foreign bodies in the upper,middle,and lower esophagus of the observation group was shorter than that of the control group[(6.27±1.01)min vs.(7.51±2.02)min,(8.62±1.11)min vs.(12.07±1.13)min,(11.07±1.26)min vs.(15.47±1.29)min](P<0.05).The overall foreign body removal success rate of the observation group was higher than that of the control group(100.00%vs.71.43%)(P<0.05).The success rate of removal of foreign bodies in the upper esophagus in the observation group was higher than that in the control group(100.00%vs.62.50%)(P<0.05).The difference in the success rate of foreign body removal in the middle(100.00%vs.100.00%)and lower esophagus(100.00%vs.100.00%)between the two groups was not statistically significant(P>0.05).The surgical visual field clarity of the observation group was better than that of the control group(80.95%vs.52.38%)(P<0.05).The incidence of complications in the observation group after foreign body re
作者
刘鸿儒
吴锋
尚国印
LIU Hong-ru;WU Feng;SHANG Guo-yin(Department of Gastroenterology,the First Affiliated Hospital of Harbin Medical University,Harbin Heilongjiang 150000,China)
出处
《临床和实验医学杂志》
2021年第1期96-100,共5页
Journal of Clinical and Experimental Medicine
基金
黑龙江省自然科学科学基金(编号:LC20170458)。
关键词
食管异物
透明帽
电子胃镜
嵌顿
吞咽障碍
Esophageal foreign body
Transparent cap
Electronic gastroscope
Incarcerated
Swallowing disorder