自制水囊及双通道套管在上消化道无痛超声微探头检查中的应用

Application of self-made water sac and dual-channel casing in analgesic miniprobe endoscopic ultrasonography of upper gastrointestinal tract

摘要:

目的??探讨自制水囊及双通道套管在无痛上消化道超声微探头检查中的应用价值。方法?应用前瞻性随机分组，将76例在该院行上消化道超声微探头检查的患者随机分为无痛组（实验组）和普通组（对照组），每组38例；实验组采用丙泊酚全身麻醉，用自制水囊（用于食管病灶）及双通道套管（用于胃腔病灶）辅助；对照组采用常规注水法。对两组病例的平均操作时间、超声诊断的准确性、患者舒适性和并发症发生率等进行比较分析，并对操作方法进行总结。结果?两组间患者年龄、性别差异无统计学意义；所有患者均成功完成检查，采用自制水囊的食管病灶平均检查时间（6.5±2.1）min较常规注水法时间（12.3±1.5）min明显缩短（P <0.05）；超声诊断的准确性两组间差异无统计学意义（P >0.05）；实验组图像质量高，患者舒适性好（P <0.05）；并发症发生率两组间无差异，所有病例均未发生误吸。结论?采用自制水囊及双通道套管辅助进行上消化道无痛超声微探头检查，安全可靠，患者舒适性好，图像效果佳，值得临床推广应用。

Abstract:

Objective?To explore the application value of the self-made water sac and double channel casing in analgesic miniprobe endoscopic ultrasonography of upper gastrointestinal tract. Methods?76 patients were randomly divided into two groups: analgesic group (experimental group) and normal group (control group), 38 cases in each. The experimental group which was underwent general anesthesia with Propofol use the self-made water sac (esophageal lesion) and double channel casing (gastric lesion). The control group using conventional water flooding. The average operation time, the accuracy of ultrasonic diagnosis, the patient’s comfort and complication rate of the two groups were analyzed, and the operation method was summarized. Results?There were no significant differences in age and gender between the two groups. All patients were successfully completed the examination. The average operation time of self-made water sac group (6.5 ± 2.1) min was obviously shorter than the normal group (12.3 ± 1.5) min, P <0.05. The diagnostic accuracy of ultrasound was not significantly different (P >0.05). The patients in the painless group had better comfort and higher quality images (P <0.05). There was no difference in the incidence of complications, and no aspiration occurred. Conclusion?The self-made water sac and double channel casing for the analgesic ultrasonic micro probe examination of upper gastrointestinal tract is safe and reliable, and the patient’s comfort is good, the image effect is good, it is worthy of promoting clinical application.