CAJ | 학술논문

目的：探讨泥鳅导丝配合鹅颈套圈成圈技术在抓取腔内管状异物中的可行性及适用范围。方法2009年7月-2013年12月，收治3例经外周静脉置入中心静脉导管（PICC）体内断管患者、1例植入式静脉输液港导管断管患者及2例更换双“J”管患者，均为女性。采用泥鳅导丝配合鹅颈套圈成圈技术（即将导丝和鹅颈套圈分别置于管状物两侧，用鹅颈套圈将泥鳅导丝前端柔软部分套住后即形成一圈型结构）对6例患者进行取管操作。结果应用成圈技术均顺利、安全的取出6例患者体内断管或双“J”管。结论泥鳅导丝配合鹅颈套圈成圈技术是一种有效的、快捷的抓取腔内管状异物的方法，值得掌握和推广。
목적：탐토니추도사배합아경투권성권기술재조취강내관상이물중적가행성급괄용범위。방법2009년7월-2013년12월，수치3례경외주정맥치입중심정맥도관（PICC）체내단관환자、1례식입식정맥수액항도관단관환자급2례경환쌍“J”관환자，균위녀성。채용니추도사배합아경투권성권기술（즉장도사화아경투권분별치우관상물량측，용아경투권장니추도사전단유연부분투주후즉형성일권형결구）대6례환자진행취관조작。결과응용성권기술균순리、안전적취출6례환자체내단관혹쌍“J”관。결론니추도사배합아경투권성권기술시일충유효적、쾌첩적조취강내관상이물적방법，치득장악화추엄。
Objective To investigate the feasibility and application scope of the looping technique by using a gooseneck snare and a loach guide wire in retrieving tubular foreign bodies within the vascular or ureteral duct. Methods During the period from July 2009 to Dec. 2013, six patients with ruptured catheter were admitted to authors’ hospital. All six patients were females. Three patients had internal ruptured peripherally inserted central venous catheter (PICC), one patient had ruptured implantable venous access port catheter and two patients had replacement of double “J” ureteral catheter stent. By using looping technique, i.e. a loach guide wire and a gooseneck snare were separately placed at the two ends of the tubular foreign body, then the gooseneck snare entangled the soft leading end of the loach guide wire to form a annular structure to seize the ruptured tubular catheter and then to pull it out of the body. Results With the help of the looping technique, the internal ruptured catheter or the double “J” ureteral catheter was successfully removed in all the six patients. Conclusion For the retrieval of the tubular foreign bodies within the vascular or ureteral duct, the looping technique by using a gooseneck snare and a loach guide wire is an effective and fast treatment. Therefore, this technique should be recommended in the clinical practice.