中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
3期
28-29
,共2页
胃肠镜辅助下鼻空肠直管插管法%螺旋型鼻空肠管置管法%小肠疾病
胃腸鏡輔助下鼻空腸直管插管法%螺鏇型鼻空腸管置管法%小腸疾病
위장경보조하비공장직관삽관법%라선형비공장관치관법%소장질병
Gastrointestinal endoscopic nasojejunal tube intubation%Non gastroscope assistant spiral nasointestinal tube method%Small bowel disease
目的：探讨胃肠镜辅助下鼻空肠直管插管法和非胃镜辅助下螺旋形鼻空肠管置管法在小肠疾病诊断中的应用。方法：选取2012年1月-2013年6月本院疑诊小肠疾病的患者100例，按随机数字表法分为治疗组（A组）和对照组（B组），每组50例。A组采用非胃镜辅助螺旋型鼻空肠管行插管法小肠气钡双重造影，B组胃镜引导下，行鼻空肠直管行空肠置管，比较两者的置管成功率、小肠病变检出性率，并行统计学分析及处理。结果：A组检出率84%，B组检出率64%，两组比较差异有统计学意义（P<0.05）；两组置管成功率及并发症比较差异无统计学意义（P>0.05）。结论：非胃镜辅助螺旋型鼻空肠管行插管法小肠气钡双重造影操作简便、安全、患者痛苦小而易于接受，对小肠病变有较高检出率，有临床推广应用价值。
目的：探討胃腸鏡輔助下鼻空腸直管插管法和非胃鏡輔助下螺鏇形鼻空腸管置管法在小腸疾病診斷中的應用。方法：選取2012年1月-2013年6月本院疑診小腸疾病的患者100例，按隨機數字錶法分為治療組（A組）和對照組（B組），每組50例。A組採用非胃鏡輔助螺鏇型鼻空腸管行插管法小腸氣鋇雙重造影，B組胃鏡引導下，行鼻空腸直管行空腸置管，比較兩者的置管成功率、小腸病變檢齣性率，併行統計學分析及處理。結果：A組檢齣率84%，B組檢齣率64%，兩組比較差異有統計學意義（P<0.05）；兩組置管成功率及併髮癥比較差異無統計學意義（P>0.05）。結論：非胃鏡輔助螺鏇型鼻空腸管行插管法小腸氣鋇雙重造影操作簡便、安全、患者痛苦小而易于接受，對小腸病變有較高檢齣率，有臨床推廣應用價值。
목적：탐토위장경보조하비공장직관삽관법화비위경보조하라선형비공장관치관법재소장질병진단중적응용。방법：선취2012년1월-2013년6월본원의진소장질병적환자100례，안수궤수자표법분위치료조（A조）화대조조（B조），매조50례。A조채용비위경보조라선형비공장관행삽관법소장기패쌍중조영，B조위경인도하，행비공장직관행공장치관，비교량자적치관성공솔、소장병변검출성솔，병행통계학분석급처리。결과：A조검출솔84%，B조검출솔64%，량조비교차이유통계학의의（P<0.05）；량조치관성공솔급병발증비교차이무통계학의의（P>0.05）。결론：비위경보조라선형비공장관행삽관법소장기패쌍중조영조작간편、안전、환자통고소이역우접수，대소장병변유교고검출솔，유림상추엄응용개치。
Objective:To explore the application of gastrointestinal endoscopic nasojejunal tube intubation and non gastroscope assistant spiral nasointestinal tube method in the diagnosis of small bowel diseases. Method:From January 2012 to June 2013 in our hospital 100 cases of suspected small bowel disease were selected,randomly divided into the treatment group(group A)and control group(group B). According to random number table method,50 cases in each group,and the group A was treated with non gastroscopy auxiliary spiral nasointestinal tube intubation of small intestine double contrast barium enema,the group B was treated with gastrointestinal endoscopic nasojejunal tube intubation,compared the two success rate of catheterization,intestinal lesion detection rate,parallel analysis and statistics. Result:In the group A,the detection rate was 84%,the group B was 64%, compared to two groups of results,significant difference(P<0.05);success rate and complications of catheterization of two groups had no significant difference(P>0.05). Conclusion:Non gastroscopy auxiliary spiral nasointestinal tube intubation of small intestine double contrast barium enema has the advantages of simple operation,safety,little pain and easy to accept,with a higher detection rate of small intestinal lesions,clinical application value.
