磁锚定技术联合磁压榨技术实现超微创胃造瘘  

Application of magnetic anchor combining magnetic compression technique in ultra minimal invasive gastrostomy： an experimental study

作　　者：严小鹏[1] 任冯刚[1] 刘雯雁[1] 张静[1] 卢强[1] 白纪刚[1] 吕毅[1] 

机构地区：[1]西安交通大学第一附属医院肝胆外科,710061

出　　处：《中华实验外科杂志》2016年第2期291-294,共4页Chinese Journal of Experimental Surgery

基　　金：卫生部部属（管）医院临床学科重点项目（2010105）;国家自然科学基金科学仪器专项（81127005）;中央高校基本科研业务费专项基金（XKJC2013003）

摘　　要：目的以实验犬为模型探讨磁锚定技术（MAT）联合磁压榨技术（MCT）实现超微创胃造瘘的可行性。方法根据自行设计的超微创胃造瘘手术路径，设计并加工用于磁压榨胃造瘘的子母磁体和锚定磁体。子母磁体为1对中央带孔的圆柱状磁体，其中母磁体的中央孔内固定有14F胃管。锚定磁体为体积更大的圆柱状磁体。按既定手术操作路径在8条杂种犬上实施手术，以验证其操作的可行性和安全性。结果在8条实验犬上均成功实施了超微创胃造瘘术。该术式操作简单，手术时间短，创伤极小。术后未见造瘘口渗液，造瘘通道通畅性良好。结论磁锚定技术联合磁压榨技术实现超微创胃造瘘操作简便、安全性高。Objective The aim of this study was to evaluate the feasibility of ultra minimal invasive gastrostomy performed by magnetic anchor technique （ MAT ） combined with magnetic compression technique （MCT）. Methods In accordance with the operation pathway designed by the author themselves, a couple of parent - daughter magnets and the anchoring magnet were designed and processed for the magnetic compressive gastrostomy. The parent - daughter magnets were cylindrical with a hole in the center. A 14 - French gastric tube was inserted through the hole and fixed on the parent magnet. The anchoring magnet was a cylindrical magnet with a larger volume. The gastrostomy was performed according to the pre -designed pathway to evaluate its feasibility and safety. Results All the eight gastrostomy was successfully and easily done in a short time. The fistula was observed with no abdominal exudation and un- obstructed. Conclusion The ultra minimal invasive gastrostomy performed by magnetic anchor technique combined with magnetic compression technique is easy to operation and with high safety.

关 键 词：磁锚定技术 磁压榨技术 胃造瘘 微创 

分 类 号：R656.61[医药卫生—外科学]