内镜下胃底静脉曲张栓塞治疗注射针使用新方法效果的研究
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1.首都医科大学附属北京友谊医院;2.首都医科大学附属北京友谊医院消化内科

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The study on effect of creative method of needles application for embolization of gastric fundal varies
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Beijing Friendship Hospital

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    摘要:

    目的 探讨三通连接注射针应用于胃底静脉曲张栓塞术与传统治疗方法在堵针发生率、注射时间、注射效果及术后并发症等方面的优势。 方法 研究者选择2016年10月至2017年6月间,在我院住院接受胃底静脉曲张栓塞治疗,且符合入排标准的75例肝硬化导致门脉高压合并胃底静脉曲张患者,共计104个胃底栓塞注射部位随机分成实验组与对照组,实验组采用注射器与注射针之间加用三通的方法;对照组采用传统的注射器连接注射针的方法,观察记录两组药物推注时长、使用后注射针通畅情况、注射效果、及术后并发症的情况并进行比较。结果 ①实验组药物推注时长为4.173±0.392s显著短于对照组6.592±0.715s(P<0.001);②实验组注射针使用后效果52例全部为畅通;对照组44例为通畅、5例部分阻塞、3例完全阻塞(P=0.006);③实验组注射针使用后51例无出血、1例渗血;对照组50例无出血、2例渗血(P =0.467),无统计学差异;④两组术后均未发生并发症。结论 采用注射器与注射针之间加用三通的方法进行组织胶注射可以缩短推注药物时间,降低注射针阻塞率,安全可靠,值得推广。

    Abstract:

    Objective To investigate the advantages of multidirectional stopcock injection needle on the incidence of needle plugging, the duration of injection, injection effect and postoperative complications, et al. in the varicosis of the gasric fundus veins therapy. Methods From October 2016 to June 2017, a total of 75 patients with portal hypertension complicated with varicose gastric varices were treated in our hospital. And 104 cases of gastric fundus embolism were randomly divided into experimental group and control group. The experimental group used multidirectional stopcock between syringe and injection needle, while the control group used traditional syringe to connect injection needle. The duration of injection, the effect of the injection, and the complications after injection were observed and compared between the two groups. Results (1)The duration time of injection was 4.173±0.392s in the experimental group, which was significantly shorter than that in the control group 6.592±0.715 s(P<0.001), (2) The injection effect comparison: 52 cases were all smooth in the experimental group; while in the control group, 44 caseswere unobstructed, 5 cases were partial obstruction and 3 cases were completely blocked (P=0.006); (3) The complications after injection: 51 cases without bleeding and 1 cases of blood infiltration in the experimental group; and 50 cases no bleeding, 2 cases bleeding in the control group. (P =0.467). There was no statistical difference. (4)There was no complication after operation in both groups. Conclusions multidirectional stopcock between injector and injection needle can shorten the time of injection and reduce the blocking rate of injection needle. It is safe and deserves to be popularized in clinical practice.

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宋萍,韦键,张倩,等.内镜下胃底静脉曲张栓塞治疗注射针使用新方法效果的研究[J].中华消化内镜杂志,2019,36(11):848-849.

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  • 收稿日期:2018-07-16
  • 最后修改日期:2019-09-11
  • 录用日期:2018-12-06
  • 在线发布日期: 2019-11-29
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