透明帽在食管枣核异物取出术中的应用价值

Gastroscopy assisted with transparent cap for esophageal date pit

摘要:

目的 探讨透明帽辅助胃镜食管异物枣核取出术的有效性及安全性。方法 回顾性分析2014年1月-2015年5月在该院胃镜下取出食管枣核异物84例，年龄45～93岁，平均（58.13±19.52）岁，男37例，女47例。常规胃镜取出组35例，透明帽辅助胃镜下取出组枣核49例。比较两种治疗的异物取出时间、成功率、出血及穿孔等并发症发生率。结果 常规胃镜治疗组35例，均横卡于食管上段，33例经常规内镜顺利取出；2例经静脉麻醉辅助内镜取出。透明帽辅助胃镜治疗组49例，枣核横卡于食管上段46例，中段3例，均经常规胃镜取出。常规胃镜治疗组取出枣核平均操作时间（10.13±0.72）min，透明帽辅助胃镜取出枣核平均操作时间（5.46±0.81）min。常规胃镜治疗组35例，29例创面局部均有不同程度出血，穿孔4例。透明帽辅助胃镜治疗组49例，21例有少量渗血，2例穿孔。结论 透明帽辅助胃镜下食管异物取出术方法可明显缩短枣核取出平均时间,减少并发症的发生率。

Abstract:

Objective To explore the validity and the security of gastroscopy assisted with transparent cap for esophageal date pit. Methods Retrospectively analyzed 84 cases in our hospital during 2014.1－2015.5 under gastroscopy for the esophagus date pit, the average age was (58.13 ± 19.52) (45～93), 37 cases of males, 47 cases of females. Take out 35 cases esophageal date pit only with gastroscopy, transparent cap assist gastroscopy takes out the other 49 cases. Remove foreign bodies' mean time, the success rate, incidence of complications such as bleeding and perforation were compared, and the results were statistically analyzed. Results Comparing of two methods, 33 cases of the treatment group could be taken out under gastroscopy (32 cases were blocked in upper esophageal, 1 case was in gastric antrum); 2 cases of esophageal foreign bodies were taken out in failure, including 1 case turned to another hospital, 1 case was under surgery. Transparent cap assist treatment group (all patients were taken out, 46 cases of esophagus paragraph 3 cases of gastric antrum helicobacter before area. Pure gastroscopy treatment group took out a handful gastroscopy have drills on average was (10.13 ± 0.72) min, transparent membrane absorption set of auxiliary treatment group took out a handful under gastroscopy average operation time was (5.46 ± 0.81) min. Gastroscopy treatment group 35 cases wound local all have different degree of bleeding, perforation in 4 cases. Transparent membrane absorption auxiliary treatment group (49 cases, 21 cases with a little of bleeding, 2 cases with perforated. Conclusion Transparent cap assist gastroscopy could significantly short the time to take out date pit and reduce the incidence of complications.