透明帽辅助胃镜食道异物取出术的临床应用评价  

Safety evaluation on transparent cap-assisted endoscopic removal of esophageal foreign bodies

作　　者：张妍[1] 韩真[1] 袁鹤鸣[1] 

机构地区：[1]皖南医学院第一附属医院弋矶山医院消化内科,安徽芜湖241001

出　　处：《皖南医学院学报》2017年第3期234-236,共3页Journal of Wannan Medical College

摘　　要：目的:探究透明帽辅助胃镜食道异物取出术的临床效果和安全性。方法:选取2013年1月~2016年6月来我院就诊的190例吞食异物患者为研究对象。随机分为对照组和观察组,每组95人,对照组直接行胃镜食道异物取出术,观察组行透明帽辅助胃镜食道异物取出术。分析两组患者内镜成功治疗的情况、视野清晰度、手术用时、黏膜损伤情况以及耐受性和并发症发生情况。结果:观察组平均手术用时和黏膜损伤人数低于对照组,而成功取出异物的人数和视野等级A级、B级的人数高于对照组,差异均具有统计学意义(P<0.05)。异物取出后,观察组患者出现并发症的比例低于对照组,而耐受良好率高于对照组,差异具有统计学意义(P<0.05)。结论:透明帽辅助胃镜食道异物取出术可以提高视野清晰度,提高手术成功率和耐受性,避免食道黏膜损伤和并发症的发生,临床安全性好,值得推广。Objective：To assess the clinical outcomes and safety of applying transparent cap-assisted endoscopy to removing foreign bodies in esophagus.Methods：One hundred and ninety patients with ingestion of foreign bodies in the esophagus,treated in our hospital between January 2013 and June 2016,were recruited,and randomized into control group and observational group（n=95 for each）.Patients in the control group were managed by conventional endoscopy,and those in the observational group were treated by transparent cap-assisted endoscopy.Data were recorded in two groups regarding successful removal of the foreign bodies,visual filed and time consumption in operation,incidence of damage to the mucosa,tolerability and complications.Results：The observational group had shorter time consumption and lower incidence of injury on average,and higher number of removed foreign bodies and visual field rated as grade A and B than the control group（P〈 0.05）.Still,patients in the observational group had significantly lower postoperative complications and better tolerability.The difference was significant（P〈 0.05）.Conclusion：Transparent cap-assisted endoscopy can improve the visual field,successful rate and tolerability in patients undergoing removal of the foreign bodies in esophagus,and reduce the incidence of mucosa damage in operation and postoperative complications,suggesting that this procedure is safe and worthy of wider clinical application.

关 键 词：透明帽 胃镜 食道异物 安全性 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]