CAJ | 학술논문

目的评价弯头型血管造影导丝(泥鳅导丝)与超滑亲水性软头导丝(斑马导丝)在经内镜逆行胰胆管造影术(ERCP)插管中的效果优劣.方法 196例患者随机分为泥鳅导丝组和斑马导丝组,均为98例,行导丝引导下的切开刀插管,首次插管如果10 min未成功则交换导丝重新插管10 min,如再次插管超过10 min则视为插管失败,将采用其他辅助插管技术.观察插管时间、插管成功率,以及术后腹痛与淀粉酶情况.结果泥鳅导丝组首次插管成功率高于斑马导丝组(93.9%比86.7%,P＜0.05),但插管时间差异无统计学意义;交换导丝后,泥鳅导丝插管成功率仍然高于斑马导丝(76.9%比0.0%,P＜0.05).术后淀粉酶升高与胰腺炎发生率两组间差异无统计学意义(P＞0.05).结论泥鳅导丝ERCP插管优于斑马导丝,在困难插管时可以替代斑马导丝.
목적 평개만두형혈관조영도사(니추도사)여초활친수성연두도사(반마도사)재경내경역행이담관조영술(ERCP)삽관중적효과우렬.방법 196례환자수궤분위니추도사조화반마도사조,균위98례,행도사인도하적절개도삽관,수차삽관여과10 min미성공칙교환도사중신삽관10 min,여재차삽관초과10 min칙시위삽관실패,장채용기타보조삽관기술.관찰삽관시간、삽관성공솔,이급술후복통여정분매정황.결과 니추도사조수차삽관성공솔고우반마도사조(93.9%비86.7%,P＜0.05),단삽관시간차이무통계학의의;교환도사후,니추도사삽관성공솔잉연고우반마도사(76.9%비0.0%,P＜0.05).술후정분매승고여이선염발생솔량조간차이무통계학의의(P＞0.05).결론 니추도사ERCP삽관우우반마도사,재곤난삽관시가이체대반마도사.
Objective To compare curve-tip angiography guide wire (loach guide wire) and ultrasmooth hydrophilic guide wire (zebra guide wire) in selective common bile duct (CBD) cannulation of endoscopic retrograde cholangiopancreatography (ERCP). Methods A total of 196 patients were randomly assigned to loach guide wire group to receive cannulation guided by loach guide wire first ( n = 98 ) and zebra guide wire group to use zebra guide wire first ( n =98). If cannulation was not successful after 10 minutes, a further attempt was made for an additional 10 minutes using the alternative guide wire. If still not successful after 10 minutes, other cannulation accessories would be used. The primary and overall selective cannulation time, success rate, and post-procedure abdominal pain and serum amylase were assessed. Results The primary success rate of selective CBD cannulation was higher in the loach guide wire group (93.9%) than that in zebra guide wire group (86. 7%, P ＜0. 05), while there was no significant difference in cannulation time between 2 groups (P ＞ 0. 05 ). The cannulation success rate after crossover was higher in loach guide wire group (76. 9% ) than that in zebra guide wire group (0. 0%, P ＜0. 05). There was no significant difference in post-procedure serum amylase or occurrence rate of post ERCP pancreatitis between 2 groups (P ＞ 0. 05 ).Conclusion Loach guide wire is superior to zebra guide wire in ERCP selective CBD cannulation, which can replace zebra guide wire in difficult cannulation.