经鼻超细胃肠纤维内镜引导下小肠梗阻患者长导管置入术
Transnasal fine gastrointestinal fiberscope-guided long tube insertion for patients with small bowel obstruction.
作者信息
Ishizuka Mitsuru, Nagata Hitoshi, Takagi Kazutoshi, Kubota Keiichi
机构信息
Department of Gastroenterological Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Tochigi 321-0293, Japan.
出版信息
J Gastrointest Surg. 2009 Mar;13(3):550-4. doi: 10.1007/s11605-008-0587-7. Epub 2008 Jul 12.
BACKGROUND
The use of a transnasal fine gastrointestinal fiberscope (TNF-GIF) has been rapidly disseminating in Japan. However, there has been no trial of long tube insertion (LTI) using the TNF-GIF for patients with small bowel obstruction (SBO).
PURPOSE
To examine whether TNF-GIF-guided LTI is superior to conventional LTI for patients with clinically diagnosed SBO.
METHODS
The time required for LTI was determined prospectively in each group of patients who underwent the conventional method (group 1, n = 10) and the TNF-GIF-guided method (group 2, n = 10) between March 2007 and November 2007. Insertion time was compared between groups 1 and 2.
RESULTS
Insertion time in group 2 was significantly shorter than that in group 1 (group 1, 22 +/- 16 min versus group 2, 9.2 +/- 5.4 min; P = 0.03).
CONCLUSIONS
Novel TNF-GIF-guided LTI is useful and superior to the conventional method.
背景
经鼻细径胃肠纤维内镜（TNF - GIF）在日本的使用已迅速普及。然而，尚未有针对小肠梗阻（SBO）患者使用TNF - GIF进行长管插入（LTI）的试验。
目的
探讨对于临床诊断为SBO的患者，TNF - GIF引导下的LTI是否优于传统LTI。
方法
前瞻性地确定2007年3月至2007年11月期间接受传统方法（第1组，n = 10）和TNF - GIF引导方法（第2组，n = 10）的每组患者进行LTI所需的时间。比较第1组和第2组之间的插入时间。
结果
第2组的插入时间明显短于第1组（第1组，22±16分钟对第2组，9.2±5.4分钟；P = 0.03）。
结论
新型TNF - GIF引导的LTI是有用的，且优于传统方法。
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