胃食道插管导引管在腹腔镜胆囊切除术的应用  

Feasibility of Stomach and Esophagus Guiding Tube Using in Laparoscopic Cholecystectomy

作　　者：刘学红[1] 张艳峰[1] 欧阳小玲[1] 

机构地区：[1]广东省东莞市长安医院手术室,广东东莞523843

出　　处：《黑龙江医药》2009年第4期548-549,共2页Heilongjiang Medicine journal

摘　　要：目的:探讨胃食道插管导引管在腹腔镜胆囊切除术中应用的可行性。方法:86例拟行腹腔镜胆囊切除术的患者,根据胃管插入法的不同被随机分成实验组和对照组,每组43例。对照组采用传统的胃管置入法,实验组采用专利产品胃食道插管导引管套件插入胃管。观察两组平均置管时间、一次置管成功率及术后咽喉痛等不良反应。结果:两组平均置管时间分别为(25.6±7.8)s及(78.9±16.3)s,一次置管成功例数分别为43例及31例,与对照组比较,实验组平均置管时间明显缩短(t=7.01,P<0.01),一次置管成功率显著增加(χ2=13.95,P<0.01)。结论:采用胃食道插管导引法能够显著减少置管时间,提高术中插胃管成功率,方法简单,值得推广。Objective ：To investigate the feasibility of stomach and esophagus guiding tube using in laparoseopic cholecysteetomy（LC）. Methods： 86 patients proceeding LC were randomly divided into experiment group and control group,43 cases in each group. Traditionary gastric tube insertion were used in control group, and stomach and esophagus guiding tube was used in experiment group. Average insertion time, first insertion achievement ratio, and adverse effect such as sore throat were observed. Results： Average insertion time were （25.6 ± 7.8 ） s and （78.9 ± 16. 3）s in control group and experiment group, there was a significant difference in both groups （ t = 7.01, P 〈 0. 01 ）. First insertion achievement ratio were 100% （43/43）and 72% （31/43） ,in experiment group and control group,there was a significant difference in both groups （ X^2 = 13.95, P 〈0. 01 ）.Conclusion：stomach and esophagus guiding tube can decrease average insertion time and increase first insertion achievement ratio.

关 键 词：腹腔镜胆囊切除术 胃管 胃食道插管导引管 

分 类 号：R657.4[医药卫生—外科学]