黄斑马导丝交换系统对完全性上消化道狭窄的疗效分析  

Safety and efficacy of yellow zebra guide wire exchange system in the treatment of complete upper digestive stenosis

作　　者：任丽华[1] 葛敏 丁静[3] 朱宏[3] 李媛媛[1] 卢芩[1] 俞婷[1] 施瑞华[1] Ren Lihua;Ge Min;Ding Jing;Zhu Hong;Li Yuanyuan;Lu Qin;Yu Ting;Shi Ruihua(Department of Gastroenterology,Zhongda Hospital,Southeast University,Nanjing 210009,China;Department of General Practice,Unit 32051,the People′s Liberation Army,Wuxi 214000,China;Department of Gastroenterology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]东南大学附属中大医院消化内科,南京210009 [2]解放军第32051部队全科医学,无锡214000 [3]南京医科大学第一附属医院消化内科,南京210029

出　　处：《中华医学杂志》2023年第39期3133-3135,共3页National Medical Journal of China

基　　金：江苏省卫健委“强卫工程”食管创新团队(2017ZXK7QW08);中国博士后科学基金(2023M730587)

摘　　要：探讨黄斑马导丝交换系统治疗完全性上消化道狭窄的有效性及安全性。回顾性分析2019年5月至2023年4月于东南大学附属中大医院及2011年8月至2015年3月于南京医科大学第一附属医院就诊的完全性上消化道狭窄患者,分析黄斑马导丝交换系统在内镜下治疗的成功率及不良事件发生情况。共纳入41例患者,男25例,女16例,年龄(65±12)岁(28~94岁)。其中40例患者成功插入黄斑马导丝,利用外套管置换为硬钢丝后顺利行内镜下的治疗,整体有效率为97.6%(40/41)。11例患者(27.5%)伴随不同程度的胸骨后疼痛,无出血、穿孔等并发症。To investigate the efficacy and safety of yellow zebra guide wire exchange system in the treatment of complete upper digestive stenosis.To analyze the success rate and adverse events,a retrospective analysis was conducted on patients with complete digestive stenosis in Zhongda Hospital Affiliated to Southeast University from May 2019 to April 2023 and the First Affiliated Hospital of Nanjing Medical University from August 2011 to March 2015.A total of 41 patients were included,including 25 males and 16 females,aged(65±12)years(28-94 years).Among them,40 patients were successfully inserted with yellow zebra guide wire and underwent endoscopic treatment using the outer tube replacement with hard steel wire,with 97.6%(40/41)effective rate.Eleven patients(27.5%)were accompanied by varying degrees of retrosternal pain,without complications such as bleeding or perforation.

关 键 词：胃肠疾病 完全性胃肠狭窄 黄斑马导丝 硬钢丝 内镜下治疗 

分 类 号：R57[医药卫生—消化系统]