便携式一次性电子胃镜在急诊上消化道检查中的初步应用  

Primary application of disposable portable gastroscopy in emergency upper gastrointestinal examination

作　　者：徐龙 杜井峰 孙刚[2] 吕天旻 黄文璐 李奕 杨云生[2] Xu Long;Du Jing-Feng;Sun Gang;Lv Tian-Min;Huang Wen-Lu;Li Yi;Yang Yun-Sheng(Department of Gastroenterology,General Hospital of Shenzhen University,Shenzhen,Guangdong 518055,China;Department of Gastroenterology,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China;Huizhou Xzing Technology Co.,Ltd,Huizhou,Guangdong 516025,China)

机构地区：[1]深圳大学总医院消化内科,广东深圳518055 [2]解放军总医院第一医学中心消化科,北京100853 [3]惠州市先赞科技有限公司,广东惠州516025

出　　处：《解放军医学杂志》2020年第3期256-259,共4页Medical Journal of Chinese People's Liberation Army

基　　金：军队“十二五”重点课题(WS13C027);军队医药卫生成果扩试项目(19WKS10);深圳市科创委项目(20BKCN636)。

摘　　要：目的为处于新型冠状病毒肺炎(COVID-19)疫情期间的消化道出血或消化道急诊内镜检查患者提供可减少病毒感染机会、减少洗消工序的便携式一次性电子内镜。方法自主研发便携式一次性内镜系统(YunSendo),应用该系统对拟诊上消化道出血的患者行急诊上消化道内镜检查。口服局麻药后,由一名高年资消化医师完成内镜检查,同时进行规范化采图、内镜操作性能及内镜图像质量评价。评价该系统在上消化道内镜检查中的安全性、可行性及操作性能。结果两例上消化道出血患者接受急诊内镜检查,均安全完成。该系统可在无交流电源的情况下进行操作,并可有效完成观察、内镜吸气、充气及喷水、镜身旋转、活检等功能,所有操作均顺利完成。可利用该系统记录视频录像,进行图像采集,行图文报告。两例病例操作均未发生内镜操作不良事件和并发症,操作时间和普通内镜检查无差异。检查后按医院感染控制要求丢弃,无须清洗消毒。结论便携式一次性内镜系统YunSendo胃镜操作安全可行,其操作性能和采集图像质量良好,可在疫情期间便捷使用。Objective To provide a portable disposable endoscopy for preventing potential viral infection in the patients with acute upper gastrointestinal bleeding(AUGIB)or those who need emergency endoscopy and reducing the process of endoscopy cleaning and disinfection during the corona virus disease 2019(COVID-19)epidemic.Methods The novel portable and disposable endoscopy system(YunSendo)was self-designed.Two patients with suspected AUGIB underwent emergency gastroscopy with YunSendo system by a senior endoscopist.Standard image acquisition and assessments of operation performance and image quality were fulfilled to evaluate the preliminary safety,feasibility,and operation performance of the novel endoscopy.Results Emergency endoscopy was completed safely in two AUGIB patients by the YunSendo system without alternating current(AC)power supply.The endoscopic manipulation and observation,including water absorption,air inflation,water spray,body rotation,and specimen biopsy,can be smoothly and effectively achieved.The video-recording,image acquisition,and electronic graphic report output were achieved integratedly in YunSendo.The upper GI tract can be clearly visualized,with eligible specimen biopsy without any obvious adverse events and compilations.Operation time was similar to an ordinary gastroscopy.The disposable endoscope was discarded after use according to the requirements of the hospital infection-control department.Conclusions The novel portable and disposable endoscopy system,YunSendo,is safe and feasible for upper gastrointestinal examination,with favorable operation performance and image quality.The preliminary experience provides evidence for its convenient use of epidemic prevention.

关 键 词：便携式一次性内镜系统 YunSendo 急诊内镜 上消化道内镜检查 

分 类 号：R57[医药卫生—消化系统]