改良型一体式胰管支架在胰管狭窄中的应用
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1.上海长海医院消化内镜中心

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上海长海医院护理科研基金(2018HLCY05)


Evaluation of clinical effect of modified integrated pancreatic duct
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The Nursing Research Fund of Shanghai Changhai Hospital (2018HLCY05)

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    摘要:

    目的评估改良型一体式胰管支架置入治疗胰管狭窄的有效性和安全性。方法选取2018年6—12月在上海长海医院消化内镜中心因胰管狭窄,首次行经内镜逆行胰胆管造影术+胰管支架置入术的患者共200例,其中改良组(置入改良型一体式胰管支架)100例,传统组(置入传统胰管支架)100例。记录并分析手术一次成功率、胰管支架置入时间、医生及护士满意度评价及成本效益。结果改良组与传统组在一次手术成功率[100%(100/100)比78%(78/100)]、胰管支架置入时间 [(7.66±1.64)min比(34.11±15.32)min]、医师满意度[100%(100/100)比34%(34/100)]、护士满意度[100%(100/100)比23%(23/100)]及手术材料费[(5 817.12±548.09)元比(7 533.51±878.72)元]等方面,差异均有统计学意义(P均<0.05)。结论采用改良型一体式胰管支架置入治疗胰管狭窄,在治疗效果及成本控制上均明显优于传统方法,值得临床推广。

    Abstract:

    ObjectiveTo investigate the effect of traditional pancreatic duct stent and modified integrated pancreatic duct stent implantation in the treatment of pancreatic duct stenosis in patients with pancreatic duct stenosis. MethodsA total of 200 patients underwent endoscopic retrograde pancreatic ductography + pancreatic duct stent implantation in the Digestive Endoscopy Center of Shanghai Changhai Hospital from June 2018 to December 2018. There were 100 patients in the experimental group and 100 patientsin the control group. The one-time success rate ofoperation, the time of pancreatic duct stent implantation, the evaluation of medical satisfaction and cost-effectiveness were recorded and analyzed. SPSS20.0 is used for data processing and analysis. ResultsThere was no significant difference in education level, age and sex between the two groups (P> 0.05). However, there were significant differences in the one-time success rate of operation, the time of pancreatic duct stent implantation, medical satisfaction and cost-effectiveness (P< 0.05). ConclusionThe therapeutic effect and cost control of modified integrated pancreatic duct stent implantation in the treatment of pancreatic duct stenosis are significantly better than the traditional method, which is worth popularizing in clinic.

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傅增军,马苏.改良型一体式胰管支架在胰管狭窄中的应用[J].中华消化内镜杂志,2020,37(11):824-826.

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  • 收稿日期:2019-07-29
  • 最后修改日期:2020-10-19
  • 录用日期:2019-10-15
  • 在线发布日期: 2020-11-30
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