牙线牵引金属夹辅助缝合结直肠内镜黏膜下剥离术后大创面的临床应用
Clinical application of dental floss traction with metal clamp-assisted suture in large wound after colorectal endoscopic submucosal dissection
陆文晓 1张永强1
作者信息
- 1. 214400 江苏,江阴市人民医院消化科
- 折叠
摘要
目的 观察牙线牵引金属夹辅助缝合结直肠内镜黏膜下剥离术(ESD)后大创面的应用效果.方法 行结直肠ESD患者40例,创面直径2.5～6.0 cm,采用随机数字表法分为两组,每组20例.观察组使用牙线牵引金属夹辅助缝合结直肠ESD术后大创面,对照组使用传统金属夹缝合结直肠ESD术后大创面.比较两组患者围手术期相关指标和并发症发生情况.结果 观察组创面完全闭合率(100％vs.90％)高于对照组,金属夹使用数量[(7.10±1.07)个vs.(8.55±2.06)个]和住院时间[(8.00±1.12)d vs.(9.85±1.98)d]少于对照组(P＜0.05).两组患者手术时间、创面直径、并发症发生率比较无统计学差异(P＞0.05).结论 牙线牵引金属夹辅助缝合结直肠ESD术后大创面具有创面闭合率高和住院时间短的优点,不增加并发症发生率.
Abstract
Objective To observe the application efficacy of dental floss traction with metal clamp-assisted suture in large wound after colorectal endoscopic submucosal dissection(ESD).Methods Forty patients underwent colorectal ESD,whose wound diameter was 2.5-6.0 cm.The patients were divided into two groups with 20 cases each.The dental floss traction with metal clamp was used to suture the large wound after colorectal ESD in group A,and traditional metal clamp was used to suture the large wound after colorectal ESD in group B.The relevant perioperative indexes and complications were compared between the two groups.Results Compared to group B,group A had higher wound closure rate(100％vs.90％),less number of metal clamp[(7.10±1.07)numbers vs.(8.55±2.06)numbers]and shorter hospital stay[(8.00±1.12)days vs.(9.85+1.98)days](P＜0.05).There were no significant differences in the operation time,wound diameter and incidence of complications between the two groups(P＞0.05).Conclusion Dental floss traction with metal clamp-assisted suture for large wound suture after colorectal ESD has the advantages of higher wound closure rate and shorter hospital stay without increasing the incidence of complications.
关键词
牙线牵引/金属夹/结直肠病变/内镜黏膜下剥离术Key words
Dental floss traction/Metal clamp/Colorectal lesion/Endoscopic submucosal dissection引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据