两种经皮内镜胃造瘘小肠营养管置入术的对比研究

Comparative study of two small intestinal nutrient tubes by percutaneous endoscopic gastrostomy

摘要:

目的 比较两种经皮内镜胃造瘘小肠营养管置入术的安全性、有效性和临床可操作性。方法 选取2020年1月－2021年8月该院消化内科有吞咽功能障碍的患者37例，按随机数表法分为A组和B组，分别采用内镜辅助下留置法和内镜下置管后回拉法。结果 两组患者胃造瘘小肠营养管置管成功率均为100.00%，小肠营养管置入过程中并发症发生率均为0.00%。B组操作时间短于A组，两组患者比较，差异有统计学意义（P < 0.05）；B组1周后在C臂机透视下置管移位率明显低于A组，两组患者比较，差异有统计学意义（P < 0.01）。结论 内镜辅助下留置法和内镜下置管后回拉法都能成功放置内镜下胃造瘘小肠营养管，但镜下置管后回拉法在操作时间和1周后置管移位率方面更具有优势。

Abstract:

Objective To compare the safety, efficacy and clinical operability of microenteral nutrient tubes in two endoscopic gastrostomy.Methods 37 patients with swallowing dysfunction from January 2020 to August 2021 were selected and randomly divided into group A and group B according to the random number table method. In both groups used endoscopic-assisted lien and endoscopic tubular callback, respectively.Results The success rate in two groups were 100.00%, and the incidence of complications were 0.00%; The operation time in group B was significant shorter than that in group A, the difference was statistically significant (P < 0.05); The tube shift rates under C-arm fluoroscopy perspective after one week in group B was lower than that in group A, the difference was statistically significant (P < 0.01).Conclusion Endoscopic-assisted lien and endoscopic tubular callback can be successfully placed in endoscopic gastrostomy intestinal nutrition tube, but endoscopic tubular callback has more advantages in terms of operation time and tube displacement rate after one week.