摘要
目的探讨三种不同前处置在超声胃镜检查中的应用对比分析。方法 2016年6月至2019年5月在我院进行超声胃镜检查患者300例,根据检查前药物服用的不同将患者分为A组(检查前单独服用二甲硅油)、B组(服用二甲硅油联合乙酰半胱氨酸颗粒)及C组(服用二甲硅油和联霉蛋白酶颗粒+碳酸氢钠片)各100例,比较三组患者超声胃镜检查视野清晰度、检查时间、与在检查中所发现的<5mm微小病变、早期胃癌检出情况。结果 B组胃镜下胃窦、胃体、胃底检查视野清晰度评分均显著低于C组且高于A组,C组视野最为清晰(P <0. 05);B组微小病变总检出率为73. 00%(73/100),明显高于A组48. 00%(48/100),低于C组95. 00%(95/100),差异有统计学意义(P <0. 05);B组癌前病变萎缩性胃炎、肠上皮化生、上皮内瘤变及早期胃癌检出明显低于C组且高于A组,差异有统计学意义P <0. 05);B组平均胃镜检查所用时间明显低于C组,高于A组(P <0. 05)。结论超声胃镜检查前采用乙酰半胱氨酸颗粒与二甲硅油联合应用,可明显提高医生超声胃镜检查时视野清晰度,和对微小病变的检出率。
Objective To compare and analyze the application of three different preprocess in ultrasound gastroscopy.Methods The clinical data of 300 patients undergoing ultrasound gastroscopy from June 2016 to May 2019 were retrospectively analyzed.According to the different drugs taken before examination,the patients were divided into group A taking dimeticone,group B taking dimeticonecombined with acetylcysteine particles,and group C taking dimeticonecombined with pronase granules and sodium bicarbonate tablets,100 in each group.The visual field resolution,examination time,and the detection of microscopic lesions<5 mm and early gastric cancer detected during the examination were compared among the three groups.Results When visual field resolution was compared,visual field resolution scores in the gastric antrum,body and fundus in the group B were significantly lower than those in the group C but higher than those in the group A,and visual field of the group C was the clearest(P<0.05).The total detection rate of minimal lesions in the group B was 73.00%(73/100),which was significantly higher than 48.00%in the group A(48/100),but significant lower than 95.00%in the group C(95/100)(P<0.05).The detection of atrophic gastritis,intestinal metaplasia,intraepithelial neoplasia and early gastric cancer in the group B was significantly lower than that in the group C but higher than that in the group A(P<0.05).The average time taken for gastroscopy in the group B was significantly shorter than that in the group C but longer than that in the group A(P<0.05).Conclusion Combination of acetylcysteine granules and dimeticone before ultrasound gastroscopy can significantly improve the visual field clarity and the detection rate of microscopic lesions in patients undergoing ultrasound gastroscopy.
作者
阳运超
刘晓岗
陈子洋
何明凤
李成红
秦芩
周丽华
YANG Yun-chao;LIU Xiao-gang;CHEN Zi-yang;HE Ming-feng;LI Cheng-hong;QIN Qin;ZHOU Li-hua(Department of Endoscopic Room,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Chengdu 610072,China)
出处
《实用医院临床杂志》
2020年第1期148-150,共3页
Practical Journal of Clinical Medicine
基金
四川省卫生计生委科研基金资助项目(编号:18PJ278)
关键词
超声胃镜
前处置
Ultrasound gastroscopy
Preprocess
