两种内镜下放置小肠减压管的对比研究及临床应用价值

Comparison of two kinds of endoscopic placement of small intestine decompression tube

摘要:

目的 比较两种内镜下放置小肠减压管的置管成功率、操作时间、并发症发生率及置管时患者的耐受程度。方法 根据入院时间将68例应用经鼻小肠减压管治疗的肠道梗阻患者随机分为两组，即A组和B组，每组34例。A组患者采用在胃镜直视下置管方法，B组患者采用鼻胃镜导丝引导置入法。结果 两组患者在置管成功率及并发症发生率方面差异无统计学意义（P >0.05），在置管操作时间上差异有统计学意义（P <0.05），两组患者置管时耐受程度比较上差异有统计学意义（P <0.01）。结论 两种内镜下放置小肠减压管方法都有临床应用价值，在操作时间、患者置管时的耐受程度以及特殊患者置管成功率上鼻胃镜导丝引导置入法有明显的优势。

Abstract:

Objective To compare the success rate, operation time, complication rate and the degree of tolerance of two kinds of endoscopic placement of small intestine decompression tube. Method 68 intestinal obstruction patients treated with transnasal ileus tube were randomly divided into 2 groups, group A and group B, 34 cases in each. Patients in group A were treated by endoscopic placement, while in group B placement was guided by nasal endoscope. Results The catheterization success rate and complications between the two groups have no statistical significance (P > 0.05) while the differences of catheter operation time (P < 0.05) and placement tolerance (P < 0.01) have statistical significance. Conclusion Endoscopic placement of small intestinal decompression tube has clinical application value while placement guided by nasal endoscope has certain advantages.