Cook MOB-15三腔气囊导管在内镜逆行胰胆管造影操作中的应用

Application of Cook MOB-15 system in guiding wire insertion during endoscopic retrograde cholangiopancreatography

目的:探讨Cook MOB-15三腔气囊导管引导内镜下逆行胰胆管造影(ERCP)操作中导丝插入的价值。方法:回顾性分析2005年1月～2007年12月51例在加用Cook MOB-15三腔气囊导管引导下行ERCP操作患者的临床资料,与2002年1月～2004年12月间40例采用常规ERCP术恶性阻塞性黄疸患者进行对照,并比较两组患者导丝插入成功率。结果:加用Cook MOB-15三腔气囊导管组导丝插入的成功率为90.2%(46/51),明显高于对照组72.5%(29/40),差异具有统计学意义(P<0.05)。结论:ERCP操作中采用Cook MOB-15三腔气囊导管可以明显提高导丝插入的成功率。

Objective：To evaluate the value of Cook MOB-15 system in guiding wire insertion during endoscopic retrograde cholangiopancreatography （ERCP）. Methods： The clinical data of 51 patients who received Cook MOB-15 system-guided wire insertion during ERCP between Jan. 2005 to Dec. 2007 were retrospectively analyzed. Forty patients who received conventional ERCP catheter for malignant jaundice between Jan. 2002 and Dec. 2004 were taken as control. The successful insertion rates were compared between the 2 groups. Results： The successful insertion rate was 90.2G （46/51） in the Cook MOB-15 system group and 72. 5% （29/40） in the conventional group; there was significant difference between the 2 groups （P〈0. 05）. Conclusion： The Cook MOB-15 system can significantly raise the successful insertion rate in ERCP.