胃镜下尼龙绳圈套取上消化道长条异物的临床效果  

Clinical effect of nylon loop under gastroscope to remove long foreign bodies in the upper digestive tract

作　　者：车芳 徐显林 许国华 曾雪萍 CHE Fang;XU Xianlin;XU Guohua;ZENG Xueping(Department of Gastroenterology,Huiyang Sanhe Hospital,Guangdong Province,Huizhou516211,China)

机构地区：[1]广东省惠阳三和医院消化内科,广东惠州516211

出　　处：《中国当代医药》2023年第23期72-75,共4页China Modern Medicine

基　　金：广东省惠州市科技计划项目(2022CZ010293)。

摘　　要：目的探讨胃镜下尼龙绳圈套取出上消化道长条异物的安全性及有效性。方法回顾性选取2020年1月至2022年12月惠阳三和医院收治的50例经常规透视、胸部及腹部摄片等X线造影检查诊断为上消化道长条异物的患者作为研究对象,将采用尼龙绳圈套并配合异物钳将异物取出的30例患者为观察组,将同时期在医院诊治的采用胃镜下常规取异物方法取出上消化道长条异物的20例患者为对照组。观察两组患者长条异物取出的成功率、住院时间以及并发症发生情况。结果观察组采用胃镜下尼龙绳圈套配合异物钳法,所有患者异物全部顺利取出,而对照组18例患者顺利取出异物,观察组异物取出成功率高于对照组,差异有统计学意义(P<0.05);观察组患者取出异物后住院时间为(1.02±0.46)d,短于对照组的(2.59±0.85)d,差异有统计学意义(P<0.05);观察组患者的并发症总发生率(16.67%)低于对照组(35.00%),差异有统计学意义(P<0.05)。结论采用胃镜下尼龙绳圈套配合异物钳拖拉方式取出患者上消化道长条形异物的成功率高于常规取异物方法,且可以缩短患者的住院时间并降低并发症发生率,在临床中可以推广使用。Objective To explore the safety and effectiveness of removing long foreign bodies in the upper digestive tract with nylon loop under gastroscope.Methods Fifty patients admitted to Huiyang Sanhe Hospital from January 2020 to December 2022 diagnosed with long foreign bodies in the upper gastrointestinal tract by conventional fluoroscopy,chest and abdominal radiographs and other X-ray examinations were retrospectively selected as research objects,and 30 patients who had foreign bodies removed by nylon loop with foreign body forceps were selected as the observation group.In the same period,20 patients with long foreign bodies in the upper gastrointestinal tract removed by the conventional gastroscopic method in hospital were selected as control group.The success rate,hospital stay and complications in the two groups were observed.Results Observation group was treated with nylon loop and foreign body forceps under gastroscope,and all the foreign bodies were removed successfully,while 18 patients in the control group removed foreign bodies successfully.The successful rate of foreign body removal in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The hospital stay of the patients in the observation group after removing the foreign body was(1.02±0.46)d,shorter than that in the control group(2.59±0.85)d,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group(16.67%)was lower than that in the control group(35.00%),and the difference was statistically significant(P<0.05).Conclusion The success rate of removing long foreign body in the upper digestive tract by using nylon loop under gastroscope combined with foreign body forceps is higher than that of conventional method,and it can shorten the hospital stay of patients and reduce the incidence of complications,which can be widely used in clinical practice.

关 键 词：胃镜 尼龙绳圈套 上消化道长条异物 异物钳 

分 类 号：R57[医药卫生—消化系统]