新型便携式内镜系统用于动物腹部战创伤救治的可行性与安全性研究
作者:
作者单位:

1.海军军医大学第一附属医院消化内科;2.海军军医大学第一附属医院肝胆胰脾外科;3.海军军医大学第一附属医院临床教学中心

作者简介:

通讯作者:

中图分类号:

基金项目:

军事课题(2020?JSCGPZ?01,2021?JCJQ?ZQ?005,2020?JY06)


Feasibility and safety of a new portable endoscopic system for the diagnosis and treatment of abdominal trauma in animal models
Author:
Affiliation:

Department of Gastroenterology, The First Affiliated Hospital, Naval Medical University

Fund Project:

Project of Military (2020?JSCGPZ?01, 2021?JCJQ?ZQ?005, 2020?JY06)

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 文章评论
    摘要:

    目的 比较新型便携式内镜系统和常规电子内镜系统用于动物腹部战创伤探查与紧急治疗的可行性与安全性。方法 将3头健康巴马猪分别编为1号、2号、3号,术前禁食水8 h。实验前进行诱导麻醉,从巴马猪的中腹壁逐层切开进入腹腔,利用腹腔镜气腹机建立人工气腹,置入子弹模型1枚,建立子弹创伤模型;取出子弹模型后置入弹片模型1枚,建立弹片创伤模型。分别应用新型便携式内镜系统和常规电子内镜系统对1号巴马猪进行子弹模型和弹片模型的探查及取出操作。上述操作结束后,两种内镜系统分别对2号、3号巴马猪进行同样操作过程。两种内镜操作的先后顺序根据随机数表法进行分配。分别记录两种内镜系统的手术成功情况、手术时间、内镜管道通畅性、内镜操作满意情况、不良事件和器械缺陷发生情况。结果 使用新型便携式内镜系统和常规电子内镜系统进行手术各3次,手术均成功。新型便携式内镜系统发现及取出子弹模型、发现及取出弹片模型的时间分别为(232.33±11.68)s、(300.33±57.70)s、(170.00±44.44)s、(52.67±2.52)s;常规电子内镜系统相应时间分别为[(232.67±21.20)s,t=-0.054,P=0.962]、[(256.67±67.00)s,t=0.880,P=0.472]、[(176.00±52.42)s,t=-0.111,P=0.922]、[(58.67±14.84)s,t=-0.832,P=0.493],差异无统计学意义(P>0.05)。实验过程中,两种内镜系统管道均通畅,操作者对两种内镜系统的内镜操作过程均满意。两组均无不良事件和器械缺陷发生。结论 新型便携式内镜系统用于动物腹部战创伤的救治操作成功情况与常规电子内镜系统相当,初步证实该系统用于动物腹部战创伤救治安全可行。

    Abstract:

    Objective To compare the feasibility and safety of a new portable endoscopic system and the conventional endoscopic system for the detection and emergency treatment of abdominal trauma in animal models. Methods Three healthy Bama pigs, which were fasted and water deprivation for 8 h before surgery and then underwent induction anesthesia. A layer-by-layer incision was made into the abdominal cavity of Bama pigs. An artificial pneumoperitoneum was established using a laparoscopic pneumoperitoneum machine. A bullet model was inserted into the abdominal cavity to build the bullet wound model. After the bullet model was removed, a shrapnel model was inserted into the mid-abdomen to build the shrapnel wound model. The two types of endoscopic system were used to detect, remove bullet model or shrapnel model of the three Bama pigs respectively. The procedure order of the two systems was assigned according to the random number table method. The surgical success, operation time, endoscopy pipeline patency, endoscopic operation satisfaction, adverse events and equipment defects were recorded. Results Three surgeries were performed using the new portable endoscopic system and three other surgeries using the conventional endoscopic system, all of which were successful. The time of the new portable endoscopic system to find and remove the bullet model, and the shrapnel model were 232.33±11.68 s, 300.33±57.70 s, 170.00±44.44 s and 52.67±2.52 s, respectively. The corresponding time of the conventional endoscopic system were 232.67±21.20 s (t=-0.054, P=0.962), 256.67±67.00 s (t=0.880, P=0.472), 176.00±52.42 s (t=-0.111, P=0.922), 58.67±14.84 s (t=-0.832, P=0.493), respectively. There was no significant difference between the two systems (P>0.05). The endoscopy tubes of the two endoscopic systems were both smooth. The operator was satisfied with the endoscopic procedures of both endoscopic systems, and no adverse event or device defect occurred. Conclusion The portable endoscopic system proves to be safe and feasible for the diagnosis and treatment of abdominal trauma in animal models.

    参考文献
    相似文献
    引证文献
引用本文

张婷,邹文斌,姜春晖,等.新型便携式内镜系统用于动物腹部战创伤救治的可行性与安全性研究[J].中华消化内镜杂志,2024,41(1):25-29.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-12-28
  • 最后修改日期:2023-12-27
  • 录用日期:2023-02-14
  • 在线发布日期: 2023-12-28
  • 出版日期:
您是第位访问者

通信地址:南京市鼓楼区紫竹林3号《中华消化内镜杂志》编辑部   邮编:210003

中华消化内镜杂志 ® 2024 版权所有
技术支持:北京勤云科技发展有限公司