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无痛与传统内镜下处理食管义齿嵌塞的效果和安全性比较。

Effect and Safety of Painless and Conventional Endoscopic Management of Denture Impaction in the Esophagus.

机构信息

Second Hospital of Shanxi Medical University, Digestive Endoscopy Center, Taiyuan 030001, Shanxi Province, China.

出版信息

Comput Intell Neurosci. 2022 Sep 26;2022:9949875. doi: 10.1155/2022/9949875. eCollection 2022.

Abstract

OBJECTIVE

To improve the level of clinical diagnosis and treatment, reduce the incidence of complications, and provide the basis for clinicians to choose an appropriate treatment, this research explores the removal methods of the impacted denture in the esophagus by endoscopy.

METHODS

Based on the clinical information, treatment methods and complications of 72 patients with denture impaction in the esophagus admitted to our hospital from January 2016 to March 2021, which were divided into the group treated with painless endoscopy and the group treated with conventional endoscopy, retrospective analysis of the therapeutic effect and complications was conducted.

RESULTS

There was no statistically significant difference between the two groups in terms of denture removal rate ( > 0.05). There were statistically significant differences between the two groups in terms of operating time and incidence rates of complications during and after the procedure. The operating time of the group treated with painless endoscopy was significantly shorter than the group treated with conventional endoscopy ( < 0.05). The incidence rates of complications during and after the procedure of the group treated with painless endoscopy were significantly lower than the group treated with conventional endoscopy ( < 0.05).

CONCLUSIONS

Compared with the conventional endoscopy, painless endoscopic management of denture impaction in the esophagus under general anesthesia with tracheal intubation improves the clinical efficacy and reduces the adverse reactions. Thus, it is worthy of clinical popularization and application.

摘要

目的

提高临床诊治水平,降低并发症发生率,为临床医生选择合适的治疗方法提供依据,探讨经内镜取出食管内嵌顿义齿的方法。

方法

回顾性分析 2016 年 1 月至 2021 年 3 月我院收治的 72 例食管内嵌顿义齿患者的临床资料、治疗方法及并发症,根据患者是否采用无痛内镜治疗分为无痛内镜组和常规内镜组,比较两组的治疗效果及并发症发生情况。

结果

无痛内镜组的义齿取出率与常规内镜组比较,差异无统计学意义(>0.05);无痛内镜组的手术时间及术中、术后并发症发生率均明显低于常规内镜组,差异有统计学意义(<0.05)。

结论

与常规内镜相比,全身麻醉下经气管插管无痛内镜处理食管内嵌顿义齿可提高临床疗效,减少不良反应,值得临床推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4f7/9529450/d27e1d95a85c/CIN2022-9949875.001.jpg

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