解放军医学院学报2017，Vol.38Issue(2)：128-131,4.DOI:10.3969/j.issn.2095-5227.2017.02.010
外套管在食管第一狭窄处枣核内镜取出术中的应用价值
Gastroscopy assisted with trocar sheath in removal of date pit at the first stenosis of esophagus
刘月 1宁守斌 1朱鸣 1李静 1银新 1张静1
作者信息
- 1. 空军总医院 消化内科,北京 100853
- 折叠
摘要
Abstract
Objective To assess the value of trocar sheath in endoscopic removal of date pit at the first narrowing of esophageal. Methods Medical records of 41 patients admitted to our center for endoscopic removal of date pit at the first narrowing of esophageal from October 2008 to August 2016 were retrospectively collected and analyzed. Three options could be chosen to deal with date pit:gastroscopy assisted by trocar sheath, gastroscopy alone, and laryngeal endoscope. Average operating time of removing procedure, success rate, incidence of complications in 3 groups were compared. Results Nineteen cases were treated by gastroscopy assisted by trocar sheath with average age of (65.10 ±13.06) years (Among them, 5 cases underwent laryngeal endoscope procedures at first and failed to remove the pit),and the success rate was 100%. Thirteen cases were treated with gastroscopy alone with average age of (60.62±11.02) years,and the success rate was 76.9% (10/13). Three cases converted to laryngeal endoscope after failed gastrocopic removal and all of them complicated with perforation. Seventeen cases were treated with laryngeal endoscope with average age of (65.18±9.89)years, including 3 cases with unsuccessful gastroscopic removal. The success rate for laryngeal endoscopy group was 76.9% (12/17). Five cases accepted gastroscopy procedure assisted with trocar sheath after failed laryngendoscope removal. Mean time of retrieve procedure was 4.35±0.66 min in trocar sheath assisted gastroscopy group, which was significantly less than 8.47±0.92 min in gastroscopy group and 5.85±0.47 min in laryngeal endoscopy group (P < 0.05, respectively). Accuracy rates was 100% in trocar sheath assisted gastroscopy group, which was significantly higher 58.8% in gastroscopy group and 58.8% in laryngeal endoscope group (P < 0.05, respectively). Acceptance rates was 89.5% in trocar sheath assisted gastroscopy group, which was significantly higher 76.9% in gastroscopy group and 52.9% for laryngeal endoscope group (P < 0.05, respectively). Conclusion Compared to traditionl procedures, trocar sheath assisted gastroscopy could reduce the incidence of complication, increase visual accuracy and shorten the operating time in date pit removal.关键词
外套管/食管/枣核/异物/内镜Key words
trocar sheath/esophagus/date pit/foreign body/endoscope分类
医药卫生引用本文复制引用
刘月,宁守斌,朱鸣,李静,银新,张静..外套管在食管第一狭窄处枣核内镜取出术中的应用价值[J].解放军医学院学报,2017,38(2):128-131,4.
