透明帽辅助内镜下食管异物治疗术的疗效分析*

Effect of transparent cap-assisted endoscopic esophageal foreign body removal*

摘要:

目的??比较透明帽辅助内镜下食管异物取出术及传统内镜下异物取出术的疗效差异。方法 选取96例食管异物嵌顿患者随机分成两组，分别施行透明帽辅助内镜下异物取出术（简称透明帽组）或传统内镜下异物取出术（简称传统组），收集两组患者各项临床资料，同时记录其接受内镜下治疗的成功情况、内镜下操作时间、内镜下视野清晰度以及并发症发生情况等数据并进行统计分析。结果 接受透明帽辅助内镜下异物取出术的48例患者，均成功完成异物取出治疗，另外48例接受传统内镜下异物取出患者中有46例成功，另外2例转为透明帽辅助下异物取出后成功（成功率95.83%），两组的成功率比较差异无统计学意义（P >0.05）；透明帽组的平均内镜下操作时间为（8.29±2.83）min，传统组的平均内镜下操作时间为（10.69±3.19）min，两组比较差异无统计学意义（P >0.05）；内镜下视野清晰度方面，透明帽组视野清晰度A级45例，B级3例，传统组视野清晰度A级35例，B级11例，C级2例，两组间比较差异有统计学意义（P =0.020）；所有96例患者均未出现严重出血、穿孔及死亡等并发症。结论 透明帽辅助内镜下食管异物取出术是一种安全有效的内镜下异物治疗方案，其可提供更好的内镜下操作视野，有利于提高手术成功率，值得进一步推广应用。

Abstract:

Objective?To compare the operation effect of esophageal foreign body removal with transparent cap-assisted endoscopic technique and traditional method.?Methods?Ninety-six patients with foreign body incarcerated in esophageal were randomly divided into two groups, and they were underwent transparent cap-assisted endoscopic esophageal foreign body removal or traditional endoscopic esophageal foreign body removal respectively. The clinical data of the two groups were collected, and the success rate, the operation time, the endoscopic vision clarity and the complication rate of the two groups were all recorded and analyzed.?Results?The success rate in transparent cap-assisted endoscopic technique group was 100% compared with 95.83% in traditional method group, and two cases of failure were transferred to transparent cap-assisted endoscopic technique and finally succeed. The mean operation time were (8.58±3.21) min in transparent cap-assisted endoscopic technique group, and (10.64 ± 5.45) min in traditional method group, and there was no significant difference in two groups (P > 0.05). Forty-five cases got “A” level and three got “B” in transparent cap-assisted endoscopic technique group in endoscopic vision clarity, in contrast to 35 “A”, 11 “B” and two “C” in traditional method group. The difference between the two groups was statistically significant (P = 0.020). There was no case with serious complications such as bleeding, perforation or death in two groups.?Conclusions?Transparent cap-assisted endoscopic technique for body removal is safety and efficacy, and this technique can provide better endoscopic operation field of vision and help improve the success rate of esophageal foreign body removal.