天津医药

天津医药 ›› 2019, Vol. 47 ›› Issue (11): 1179-1182.doi: 10.11958/20191595

• 临床研究 • 上一篇    下一篇

新型鼻胃镜辅助法留置经鼻型肠梗阻导管的应用价值

钱晶瑶，石磊，施丹，李彦茹，李文   

  1. 天津市人民医院内镜中心（邮编 300121）
  • 收稿日期:2019-05-29 修回日期:2019-08-30 出版日期:2019-11-15 发布日期:2019-12-17
  • 通讯作者: 李文 E-mail:drliwen115@126.com

Application value of new transnasal gastroscopy assisted indwelling nasal insertion type ileus tube

QIAN Jing-yao,SHI Lei,SHI Dan,LI Yan-ru,LI Wen   

  1. Department of Endoscopy, Tianjin Union Medical Center, Tianjin 300121, China
  • Received:2019-05-29 Revised:2019-08-30 Published:2019-11-15 Online:2019-12-17

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摘要： 目的 研究鼻胃镜联合导丝短程交换法留置经鼻型肠梗阻导管的临床应用价值。方法 收集符合诊断标准的单纯性小肠梗阻患者 60例，随机分为内镜组和 X线组，各 30例，内镜组采用经鼻内镜辅助达到十二指肠降段或水平段，留置引导导丝后，于 X线监视下置管。X线组则全程在 X线监视下完成经鼻至空肠的置管。比较 2组置管成功率、总操作时间、放射线暴露时间、置管深度、肛门自主排气时间、有效率。结果 2组患者年龄、性别、腹部手术史等一般资料比较差异均无统计学意义。2组间置管成功率、置管深度、肛门自主排气时间、有效率差异无统计学意义（P＞0.05），内镜组总操作时间、放射线暴露时间均小于 X线组，差异有统计学意义（P＜0.05）。结论 内镜辅助法留置经鼻型肠梗阻导管可以简化操作时医患配合，缩短总操作时间和放射性暴露时间，值得临床推广。

关键词: 肠梗阻, 小肠, 组织黏连, 导管, 留置, 导管插入术, 胃镜检查

Abstract: Objective To investigate the clinical efficacy of transnasal gastroscopy combined with short-length switching in nasal insertion type ileus tube catheterization. Methods Clinical data of 60 patients meeting the diagnostic criteria for acute simple small intestinal obstruction were included in this study. Patients were randomly divided into endoscopic group (n=30) and fluoroscopic group (n=30). The success rate of catheterization, total operation time, radiation exposure time, catheterization depth, anal spontaneous exhaust time and efficiency were compared between the two groups.Results There were no significant differences in age, sex and operation history between the two groups. There were no significant differences in the success rate of catheterization, catheterization depth and efficiency between the two groups (P＞0.05). The total operation time and radiation exposure time were significantly less in the endoscopic group than those of the fluoroscopic group (P＜0.05). Conclusion Endoscopic-assisted indwelling of nasal intestinal obstruction catheter simplifies the cooperation between doctors and patients, shortens the total operation time and radiation exposure time, and is worthy of clinical promotion.

Key words: intestinal obstruction, intestine, small, tissue adhesions, catheters, indwelling, catheterization, gastroscopy