本文選題：內(nèi)鏡逆行胰膽管造影術(shù) + 支架��； 參考：《中國內(nèi)鏡雜志》2016年11期

【摘要】：目的探討導(dǎo)絲測量法與支架測量器測量法在內(nèi)鏡逆行胰膽管造影術(shù)(ERCP)中選擇合適的植入支架的應(yīng)用中的臨床效果。方法收集該院2013年1月-2015年9月確診為惡性膽道梗阻、膽管結(jié)石、膽源性胰腺炎和胰管結(jié)石的患者55例進行兩種測量方法的隨機對照觀察。對兩組患者的測量值、實際值、誤差值、更換情況及測量時間的數(shù)據(jù)進行比較。結(jié)果兩組支架放置更換率比較差異無統(tǒng)計學(xué)意義(P0.05),但導(dǎo)絲組的更換率較支架測量器組的更換率更高(14.81%vs 3.57%)。單純對導(dǎo)絲組和支架測量器組的測量值和實際值進行比較,兩者間差異均無統(tǒng)計學(xué)意義(P0.05)。通過測量值和實際值之間的差值來判斷導(dǎo)絲和支架測量器的準(zhǔn)確度,支架測量器組明顯優(yōu)于導(dǎo)絲組,兩者之間的比較差異有統(tǒng)計學(xué)意義(P0.05)。兩組方法得出測量結(jié)果的時間的比較,支架測量器組明顯優(yōu)于導(dǎo)絲組,兩者之間比較差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論支架測量器測量法較導(dǎo)絲測量法而言具有方便、快捷、準(zhǔn)確度高、支架更換率低的特點。
[Abstract]:Objective to investigate the clinical effect of wire guide and stent measurement in the selection of appropriate stent implantation in endoscopic retrograde cholangiopancreatography (ERCP).Methods from January 2013 to September 2015, 55 patients with malignant biliary obstruction, cholelithiasis, biliary pancreatitis and pancreatic duct stone were studied.The measured value, actual value, error value, replacement condition and measurement time of the two groups were compared.Results there was no significant difference between the two groups in the replacement rate of stent placement, but the replacement rate of the wire guide group was higher than that of the stent measuring apparatus group (14.81% vs 3.57%).There was no significant difference between the measured values and the actual values of wire guide group and scaffold group.The accuracy of the wire guide and the scaffold was judged by the difference between the measured value and the actual value. The scaffold group was obviously superior to the wire guide group, and the difference between the two groups was statistically significant (P 0.05).The comparison of time between the two groups showed that the scaffold group was significantly better than the wire guide group, and the difference between the two groups was statistically significant (P 0.05).Conclusion compared with the wire guide method, the scaffold measuring method has the advantages of convenience, rapidity, high accuracy and low replacement rate.
【作者單位】： 廣州軍區(qū)廣州總醫(yī)院消化科;
【分類號】：R57

【參考文獻】

相關(guān)期刊論文 前1條

1 Benedetto Mangiavillano;Nico Pagano;Todd H Baron;Monica Arena;Giuseppe Iabichino;Pierluigi Consolo;Enrico Opocher;Carmelo Luigiano;;Biliary and pancreatic stenting: Devices and insertion techniques in therapeutic endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography[J];World Journal of Gastrointestinal Endoscopy;2016年03期

【共引文獻】

相關(guān)期刊論文 前3條

1 章子函;孫大勇;;內(nèi)鏡逆行胰膽管造影術(shù)中運用導(dǎo)絲測量法與支架測量器測量法選擇支架的臨床觀察[J];中國內(nèi)鏡雜志;2016年11期

2 繆林;李全朋;;經(jīng)內(nèi)鏡逆行胰膽管造影術(shù)的過去、現(xiàn)在與未來[J];南京醫(yī)科大學(xué)學(xué)報(自然科學(xué)版);2016年10期

3 蔣圣軍;王永光;李其美;劉驥;陶玲云;晉輝;劉曉靜;;治療性經(jīng)內(nèi)鏡逆行胰膽管造影在膽胰疾病治療中的應(yīng)用[J];臨床肝膽病雜志;2016年07期

【二級參考文獻】

相關(guān)期刊論文 前8條

1 Dushant S Uppal;Andrew Y Wang;;Advances in endoscopic retrograde cholangiopancreatography for the treatment of cholangiocarcinoma[J];World Journal of Gastrointestinal Endoscopy;2015年07期

2 Barbara Braden;Christoph F Dietrich;;Endoscopic ultrasonography-guided endoscopic treatment of pancreatic pseudocysts and walled-off necrosis:New technical developments[J];World Journal of Gastroenterology;2014年43期

3 Michel Kahaleh;Everson LA Artifon;Manuel Perez-Miranda;Kapil Gupta;Takao Itoi;Kenneth F Binmoeller, California Pacific Medical Center, San Francisco, CA 94115, United States;Marc Giovannini;;Endoscopic ultrasonography guided biliary drainage: Summary of consortium meeting, May 7~(th) , 2011, Chicago[J];World Journal of Gastroenterology;2013年09期

4 Carlo Fabbri;Carmelo Luigiano;Antonella Maimone;Anna Maria Polifemo;Ⅰlaria Tarantino;Vincenzo Cennamo;;Endoscopic ultrasound-guided drainage of pancreatic fluid collections[J];World Journal of Gastrointestinal Endoscopy;2012年11期

5 José Carlos Súbtil;Maite Betes;Miguel Muoz-Navas;;Gallbladder drainage guided by endoscopic ultrasound[J];World Journal of Gastrointestinal Endoscopy;2010年06期

6 Manuel Perez-Miranda;Carlos de la Serna;Pilar Diez-Redondo;Juan J Vila;;Endosonography-guided cholangiopancreatography as a salvage drainage procedure for obstructed biliary and pancreatic ducts[J];World Journal of Gastrointestinal Endoscopy;2010年06期

7 Jay P Babich;David M Friedel;;Endoscopic approach to pancreatic pseudocysts:An American perspective[J];World Journal of Gastrointestinal Endoscopy;2010年03期

8 Pier Alberto Testoni;;Endoscopic pancreatic duct stent placement for inflammatory pancreatic diseases[J];World Journal of Gastroenterology;2007年45期

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1 李書城;鄭婉成;;簡易骨盆出口測量器介紹[J];中級醫(yī)刊;1984年04期

2 翁炳煥;吳利平;武建國;;介紹一種測量沉淀環(huán)的專用測量器[J];陜西醫(yī)學(xué)檢驗;1993年02期

3 翁炳煥;沉淀環(huán)專用測量器的制作與應(yīng)用[J];承德醫(yī)學(xué)院學(xué)報;1998年02期

4 姚鳴放;王天緣;朱羽;倪劍煒;;脂肪測量器的應(yīng)用價值探討[J];中國醫(yī)療設(shè)備;2010年03期

5 張保東,周志英;介紹一種術(shù)中髓核高度立式測量器[J];骨與關(guān)節(jié)損傷雜志;1999年03期

6 ;[J];;年期

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