应用结肠镜联合子母镜诊治156例单纯性阑尾炎的临床价值分析(含视频)  

The clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of 156 cases of simple appendicitis(with video)

作　　者：郭庆梅[1] 王宏光[1] 陶丽莹 杨守香 钮湘俊 张继伟 庞崇 王文艳[1] 郭思捷 刘敬 Guo Qingmei;Wang Hongguang;Tao Liying;Yang Shouxiang;Niu Xiangjun;Zhang Jiwei;Pang Chong;Wang Wenyan;Guo Sijie;Liu Jing(Gastrointestinal Endoscopy Center,Jilin People′s Hospital,Jilin 132001,China)

机构地区：[1]吉林市人民医院消化内镜中心,吉林132001

出　　处：《中华消化杂志》2024年第8期540-543,共4页Chinese Journal of Digestion

基　　金：吉林市科技创新发展计划(20230406146)。

摘　　要：目的探讨结肠镜联合子母镜诊治单纯性阑尾炎的临床应用价值并总结非导丝辅助阑尾插管的技术要点。方法回顾性收集2023年1至10月吉林市人民医院收治的156例通过结肠镜联合子母镜治疗的单纯性阑尾炎患者的临床资料,分析结肠镜联合子母镜诊治单纯性阑尾炎插管技术操作的技术成功率、临床成功率和不良事件的发生情况。采用描述性方法进行统计学分析。结果156例患者中149例(95.5%)采用非导丝辅助插管,7例(4.5%)采用导丝辅助插管。子镜下表现为阑尾腔内充血水肿126例(80.8%),腔内粪石83例(53.2%),腔内脓液附着31例(19.9%),管腔狭窄3例(1.9%),阑尾出血1例(0.6%)。156例患者全部成功完成结肠镜联合子母镜对阑尾炎的治疗,技术成功率为98.7%(154/156),临床成功率为99.4%(155/156)。术中无转外科手术病例;术后1例患者因阑尾炎症较严重,腹痛缓解不明显,予追加外科手术;无出血、穿孔等并发症发生。患者住院天数为(3.77±1.89)d。结论结肠镜联合子母镜治疗单纯性阑尾炎安全、可行。Objective To investigate the clinical value of colonoscopy combined with mother-baby endoscopy in the diagnosis and treatment of simple appendicitis,and to summarize the technical points of non-guidewire-assisted appendiceal intubation.Methods From January to October in 2023,the clinical data of 156 patients with simple appendicitis treated by colonoscopy combined with mother-baby endoscopy at Jilin People′s Hospital were retrospectively collected.The technical success rate,clinical success rate and the occurrence of adverse events of colonoscopy combined with mother-baby endoscopy were analyzed.Descriptive method was used for statistical analysis.Results Among the 156 patients,149 cases(95.5%)were treated with non-guidewire-assisted catheterization and 7 cases(4.5%)with guidewire-assisted catheterization.Under the'baby’endoscope,126 cases(80.8%)showed congestion and edema in appendiceal cavity,83 cases(53.2%)with fecal stones,31 cases(19.9%)with purulent attachment,3 cases(1.9%)with stenosis,and 1 case(0.6%)with appendiceal haemorrhage.All the 156 patients successfully completed the treatment of appendicitis with colonoscopy combined with mother-baby endoscopy,with a technical success rate of 98.7%(154/156)and a clinical success rate of 99.4%(155/156).There was no case changed to surgical treatment during the procedure,and 1 patient had an additional surgical procedure due to severe appendicitis and no obvious relief of abdominal pain.No complications(bleeding or perforation)occurred.The length of hospital stay was(3.77±1.89)d.Conclusion Colonoscopy combined with mother-baby endoscopy is safe and feasible in the treatment of simple appendicitis.

关 键 词：单纯性阑尾炎 子母镜技术 结肠镜 治疗 

分 类 号：R656.8[医药卫生—外科学]