CAJ | 학술논문

目的评价检查前联合使用链霉蛋白酶和利多卡因胶浆对缩短超声胃镜操作时间和改善内镜、超声图像方面的效果.方法将超声内镜受检者80例随机分为A、B组,每组40例.A组于检查前15 min口服利多卡因胶浆10 ml;B组于检查前30 min口服含10 000单位链霉蛋白酶和1g碳酸氢钠的温开水50 ml,并于检查前15 min口服利多卡因胶浆10 ml.记录总操作时间,并对超声胃镜下胃内黏液附着量及超声图像的清晰度进行评分.结果 A组操作时间长于B组[(15.5±3.0)min比(12.3±2.3)min,P＜0.001],B组内镜和超声内镜图像视野清晰度均优于A组.结论链酶蛋白酶和利多卡因胶浆联用可有效去除胃内黏液,提高超声内镜检查成像质量.
목적 평개검사전연합사용련매단백매화리다잡인효장대축단초성위경조작시간화개선내경、초성도상방면적효과.방법 장초성내경수검자80례수궤분위A、B조,매조40례.A조우검사전15 min구복리다잡인효장10 ml;B조우검사전30 min구복함10 000단위련매단백매화1g탄산경납적온개수50 ml,병우검사전15 min구복리다잡인효장10 ml.기록총조작시간,병대초성위경하위내점액부착량급초성도상적청석도진행평분.결과 A조조작시간장우B조[(15.5±3.0)min비(12.3±2.3)min,P＜0.001],B조내경화초성내경도상시야청석도균우우A조.결론 련매단백매화리다잡인효장련용가유효거제위내점액,제고초성내경검사성상질량.
Objective To test whether pre-medication with pronase and lidocaine hydrochloride mucilage can reduce the procedure time and improve image visibility in endoscopic ultrasonography (EUS).Methods A total of 80 patients who accepted EUS were randomly assigned to group A to have oral lidocaine hydrochloride mucilage 10 ml 15 minutes before the examination or group B to have oral 10 000 unit pronase with 1 gram sodium bicarbonate plus warm water up to 50 ml 30 minutes before EUS and oral 10 ml lidocaine hydrochloride mucilage 15 minutes before the procedure.The total checking time,EUS image visibility scores (range 1-4) were recorded.Results The operation time of group A (15.5 ± 3.0 minutes) was significantly longer than that of group B (12.3 ±2.3 minutes,P ＜0.001).The EUS images from group B had higher visibility scores than group A (P ＜ 0.05).Conclusion Pre-medication with pronase and lidocaine hydrochloride mucilage can reduce the procedure time and improve image visibility in EUS.