Lim Chul-Hyun, Choi Myung-Gyu, Kim Won Chul, Kim Jin Soo, Cho Yu Kyung, Park Jae Myung, Lee In Seok, Kim Sang Woo, Choi Kyu Yong, Chung In-Sik
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Clin Endosc. 2012 Mar;45(1):62-6. doi: 10.5946/ce.2012.45.1.62. Epub 2012 Mar 31.
BACKGROUND/AIMS: It is believed that disposable biopsy forceps are more costly than reusable biopsy forceps. In this study, we evaluated performance and cost of disposable forceps versus reusable forceps in esophagogastroduodenoscopic biopsy.
Between October 2009 and July 2010, we enrolled 200 patients undergoing esophagogastroduodenoscopic biopsy at Seoul St. Mary's Hospital. Biopsies were performed with 100 disposable or 5 reusable forceps by random assignment. Seventy-five additional patients were studied to estimate durability of reusable forceps. The assisting nurses estimated the performance of the forceps. The evaluation of costs included purchase prices and reprocessing costs. The adequacy of the sample was estimated according to the diameter of the obtained tissue.
Performance of disposable forceps was estimated as excellent in 97.0%, good in 2.0% and adequate in 1.0%. Reusable forceps were estimated as excellent in 36.0%, good in 36.0%, adequate in 25.1% and inadequate in 2.9%. The performance of reusable forceps declined with the number of uses. The reprocessing cost of reusable forceps for one biopsy session was calculated as ₩8,021. The adequacy of the sample was excellent for both forceps.
Disposable forceps showed excellent performance. Considering the reprocessing costs of reusable forceps, usage of disposable forceps with a low price should be considered.
背景/目的：人们认为一次性活检钳比可重复使用的活检钳成本更高。在本研究中，我们评估了一次性活检钳与可重复使用活检钳在食管胃十二指肠镜活检中的性能和成本。
2009年10月至2010年7月期间，我们纳入了在首尔圣玛丽医院接受食管胃十二指肠镜活检的200例患者。通过随机分配，分别使用100把一次性活检钳或5把可重复使用的活检钳进行活检。另外对75例患者进行研究以评估可重复使用活检钳的耐用性。辅助护士对活检钳的性能进行评估。成本评估包括购买价格和再处理成本。根据所获取组织的直径评估样本的充足性。
一次性活检钳的性能评估为优秀的占97.0%，良好的占2.0%，足够的占1.0%。可重复使用活检钳的性能评估为优秀的占36.0%，良好的占36.0%，足够的占25.1%，不足的占2.9%。可重复使用活检钳的性能随着使用次数的增加而下降。一次活检操作中可重复使用活检钳的再处理成本计算为8021韩元。两种活检钳所取样本的充足性均为优秀。
一次性活检钳表现出优异的性能。考虑到可重复使用活检钳的再处理成本，应考虑使用价格低廉的一次性活检钳。
