一次性吸痰管在术后胆道镜检查重置胆道引流管中的应用  

Application of disposable sputum suction tube in postoperative choledochoscope examination of reset biliary drainage tube

作　　者：尚红玲[1] 丁佑铭[1] 

机构地区：[1]武汉大学人民医院肝胆外科,湖北武汉430060

出　　处：《中国内镜杂志》2015年第10期1013-1015,共3页China Journal of Endoscopy

摘　　要：目的探讨一次性吸痰管在术后胆道镜检查重置胆道引流管中的应用效果。方法选择该院普外科2012年1月-2014年12月术后胆道镜检查重置胆道引流管患者100例,以先后顺序分为对照组和实验组各50例,对照组采用常规方法重置胆道引流管,实验组采用一次性吸痰管作为内支撑引导下进行重置胆道引流管方法,比较两种操作方法的置管成功率及对窦道黏膜的损伤情况。结果实验组一次置管成功率为100.00%,明显高于对照组88.00%(两组比较,χ2=4.43,P=0.012);窦道黏膜损伤率为2.00%,对照组为18.00%,差异均具有统计学意义(两组比较,χ2=7.11,P=0.008)。结论一次性吸痰管用于术后胆道镜检查重置胆道引流管的方法置管成功率高,对患者窦道黏膜的损伤小,此方法经济安全可靠,减轻了患者在重置胆道引流管中的痛苦,值得临床运用和推广。【Objective】To explore the disposable sputum suction tube in postoperative choledochoscope examination of reset biliary drainage tube.【Methods】100 cases of patients from January 2012 to December 2014 underwent postoperative choledochoscope, and divided into control group and experimental group. Control group using conventional methods reset biliary drainage tube, the experimental group using disposable sputum suction tube as internal support under the boot reset method of biliary drainage tube, compare operation success rate of catheter and the antrum mucosa damage. 【Results】The experimental group has a success rate of catheter was 100.00%, significantly higher than the control group 88.0%（χ2= 4.43, P = 0.012）; Antrum mucosa damage rate was 2.00%, significantly lower than the control group, 18.00% of the differences between the two groups were statistically significant（χ2= 7.11, P = 0.008）.【Conclusion】Disposable sputum suction tube used in postoperative choledochoscope examination of reset method of biliary drainage tube insertion success rate is high, the damage in antrum mucosa in patients was small, this method is economic, safe and reliable to reduce the pain of patients in reset biliary drainage tube, worthy of clinical application and promotion.

关 键 词：一次性吸痰管 胆道镜 重置 窦道 

分 类 号：R657.4[医药卫生—外科学]