透明帽辅助水交换单人肠镜技术在肠道金属支架置入术中的应用  

Application of transparent cap-assisted water exchange single colonoscopy in intestinal metal stent implantation

作　　者：卢仙宝 王昌雄 吴建业[1] 兰金耀[1] 江飞庆 于可 LU Xianbao;WANG Changxiong;WU Jianye;LAN Jinyao;JIANG Feiqing;YU Ke(Department of Gastroenterology,Lishui Traditional Chinese Medicine Hospital,Lishui 323000,China)

机构地区：[1]丽水市中医院消化科,323000

出　　处：《浙江医学》2024年第3期297-300,共4页Zhejiang Medical Journal

基　　金：丽水市本级重点研发计划项目(2022ZDYF23)。

摘　　要：目的探讨透明帽辅助水交换单人肠镜技术在肠道金属支架置入术中的应用价值。方法将2020年1月至2022年12月丽水市中医院进行肠镜金属支架置入术的97例患者,采用随机数字表法分为观察组49例和对照组48例;观察组采用透明帽辅助水交换单人肠镜技术置入肠道金属支架,对照组采用传统单人肠镜技术置入肠道金属支架,比较两组患者支架置入成功率、术中腹痛评分、梗阻缓解率、支架置入相关并发症发生率、肠功能恢复时间等情况。结果观察组49例均成功置入结肠支架,对照组成功置入43例,未成功5例,两组比较差异有统计学意义(P<0.05);与对照组比较,观察组腹痛评分明显降低(P<0.001);两组患者梗阻缓解率、支架置入相关并发症发生率、肠功能恢复时间等情况比较差异均无统计学意义(均P>0.05)。结论将水交换单人肠镜技术与二氧化碳、透明帽辅助技术结合起来,发挥各自独特的优势,能够明显减轻腹痛、提高肠道金属支架置入成功率,是一种较为安全、有效的新技术,值得临床推广应用。Objective To explore the application of transparent cap-assisted water exchange single colonoscopy in intestinal metal stent implantation.Methods A total of 97 patients undergoing colonoscopy in Lishui Traditional Chinese Medicine Hospital from January 2022 to December 2022 were randomly divided into trial group(n=49)and control group(n=48).The trial group received transparent cap-assisted water exchange colonoscopy,while the control group received conventional colonoscopy.The success rate of stent implantation,intraoperative abdominal pain score,obstruction relief rate,incidence of complications related to stent implantation and recovery time of intestinal function were compared between two groups.Results Colon stents were successfully implanted in 49 cases of the trial group and 43 cases in control group,respectively(P<0.05).The pain score in the trial group was significantly lower than that in the control group(P<0.001).There were no significant differences in the remission rate of obstruction,the incidence of complications related to stent implantation and the recovery time of intestinal function between the two groups(all P>0.05).Conclusion The study shows that combining water exchange single colonoscopy with carbon dioxide and transparent cap-assisted technique can alleviate intraoperative abdominal pain and increase the success rate of intestinal metal stent implantation,which is worthy of clinical application.

关 键 词：透明帽 水交换 单人肠镜 结直肠癌 急性肠梗阻 肠道金属支架 

分 类 号：R735.34[医药卫生—肿瘤]