摘要
目的探究基层医院食管、贲门病变患者接受ESD手术治疗时采用牙线牵引联合玻璃酸钠粘膜下注射的应用价值。方法该次选择2016年1月—2019年1月该院收治食管、贲门病变患者56例为研究对象,均接受ESD手术治疗,参照计算机抽选结果分为观察组与对照组,对照组患者单纯以牙线牵引辅助,观察组患者采用牙线牵引、玻璃酸钠粘膜下注射联合辅助,对比两组治疗效果,统计并分析各组患者手术相关指标差异,计算各组术后并发症总发生率。结果观察组患者治疗总有效率明显高于对照组,差异有统计学意义(P<0.05),同时观察组患者手术用时(40.25±1.21)min、住院总用时(9.31±0.34)d均明显短于对照组,差异有统计学意义(t=54.39、23.49,P<0.05)。观察组患者术后并发症发生总概率较对照组相比更低。结论食管、贲门病变患者接受ESD手术治疗期间采用牙线牵引联合玻璃酸钠粘膜下注射辅助效果更佳,可缩减手术用时,加速患者康复,且安全性强,值得推广应用。
Objective To investigate the application value of floss traction combined with submucosal injection of sodium hyaluronate in patients with esophageal and cardiac disease in primary hospitals. Methods From January 2016 to January 2019, 56 patients with esophageal and cardiac disease were enrolled in our hospital. All of them were treated with ESD. The results of computer sampling were divided into observation group and control group. With floss traction assisted, the patients in the observation group were treated with floss traction and submucosal injection of sodium hyaluronate. The effects of the two groups were compared. The differences of surgical related indexes were analyzed and analyzed. The total incidence of postoperative complications in each group was calculated. Results The total effective rate of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05). At the same time, the observation group (40.25±1.21) min and the total hospitalization time (9.31±0.34) d were significantly shorter than the control group,the difference was statistically significant(t= 54.39, 23.49, P<0.05). The total probability of postoperative complications in the observation group was lower than that of the control group. Conclusion Esophageal and cardiac disease patients undergoing ESD surgery with floss traction combined with submucosal injection of sodium hyaluronate have better adjuvant effect, which can reduce the time of surgery and accelerate the recovery of patients. It is safe and worthy of popularization and application.
作者
凌俊
LING Jun(Department of Gastroenterology,Jurong People's Hospital,Jurong,Jiangsu Province,212400 China)
出处
《世界复合医学》
2019年第8期63-65,共3页
World Journal of Complex Medicine
关键词
基层医院
压线牵引
玻璃酸钠粘膜下注射
食管、贲门病变
Primary hospital
Pressure line traction
Subcutaneous injection of sodium hyaluronate
Esophageal and cardiac disease
