经胃镜黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的治疗效果研究  

Clinical study of the placement of three cavity feeding tube in upper digestive tract stricture guided by gastroscope with yellow zebra guide wire

作　　者：陈涛[1] 赵红雲 腾冬梅 张浩[1] 何松[1] CHEN Tao;ZHAO Hongyun;TENG Dongmei;ZHANG Hao;HE Song(Endoscopy Center,The Second Affiliated Hospital of ChongqingMedical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院消化内镜中心

出　　处：《检验医学与临床》2019年第12期1678-1680,共3页Laboratory Medicine and Clinic

摘　　要：目的 探讨黄斑马导丝引导下置入三腔喂养管对上消化道狭窄患者的应用效果。方法 选取43例上消化道狭窄患者,随机分为A组( n =21,经胃镜活检孔插入鼠齿钳置入三腔喂养管)和B组( n =22,经黄斑马导丝引导下置入三腔喂养管),比较两组置管成功率、置管时间及相关并发症。结果 A组置管时间为( 27.43± 6.68)min,高于B组置管时间[(8.95±2.54) min],差异有统计学意义( t =11.879, P <0.05)。A组一次置管成功率为57.1%(12/21),低于B组的置管成功率[95.5%(21/22)],差异有统计学意义(χ^2= 6.820 , P < 0.05 )。A组并发症发生率为42.9%(9/21),明显高于B组并发症发生率[13.6%(3/22)],差异有统计学意义(χ^2= 4.560 , P <0.05)。结论 经胃镜黄斑马导丝引导三腔喂养管应用于上消化道狭窄患者置管时间短、成功率高、并发症少,值得临床推广使用。Objective To investigate the efficacy of the placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients. Methods A total of 43 patients with narrow and distorted upper digestive tract were randomly divided into the group A ( n =21,by rat tooth forceps) and group B (by yellow zebra guide wire).The placement successful rate,placement time and the related complications were compared between the two groups. Results The time of catheterization of group A was (27.43±6.68) min,which was longer than that of group B [(8.95±2.54)min],the difference was statistically significant ( t =11.879, P <0.05).The placement successful rate of group B (95.5%) was significantly higher than that of group A (57.1%),the difference was statistically significant (χ^2=6.820, P <0.05).The rate of complication of group A was 42.9%,which was higher than that of group B (13.6%),the difference was statistically significant (χ^2=4.560, P <0.05). Conclusion The placement of three cavity feeding tube guided by yellow zebra guide wire in stenosis in upper digestive tract stricture patients is a safe and effective method,which could be widely used in clinic.

关 键 词：胃镜 三腔喂养管 黄斑马导丝 上消化道狭窄 

分 类 号：R571.1[医药卫生—消化系统]