内镜检查位置引导单元对肠镜进镜困难者的临床效果评价

The clinical evaluationof colonoscopy combined with endoscopy position detecting unit in difficult intubation cases

目的初步探讨位置引导单元(UPD-3)对结肠镜困难进镜者的临床应用价值。方法回顾分析解放军总医院消化科2015年11月至2015年12月行结肠镜检查21例进镜困难患者,分别评估患者行有痛肠镜和位置引导单元配合下操作效果评价。结果结肠镜进镜困难患者在使用位置引导单元后进镜成功率为(95.2%vs 100%)、平均操作时长(21 min vs 6.2 min)、操作不适感(47.6%vs 4.7%)及疼痛评分(8.0 vs 2.6),均有统计学差异。结论在监视情况下进镜,可很好的提高进镜成功率,引导医生解袢、缩短进镜长度,对缩短肠镜检查时间、减轻患者痛苦有很好的帮助。

Objective To investigate the clinical evaluation of colonoscopy with UPD-3 for the difficult intubation patients. Methods Totally 21 patients were selected from all the patients that took examinations in the Center of GI Endoscopy, Chinese PLA general hospital, between December in 2015 and January in 2016. The routine technique of ordinary colonoscopy and the colonoscopy with endoscopy position detecting unit were performed to all patients. Results The success rate for colonoseopy with UPD-3 were significantly different from whom without UPD-3 in difficult intubation patients 95.2% vs 100% ;The average inserting time of the two methods were 45.9 rain vs 19.1 rain; the discomfortableness between two methods were 85.7% vs 14.3% respectively. The pain score by the NRS questionnaire of the two methods were 8.9 vs 6.5 respectively. Conclusions Compared with the routine technique of ordinary colonoscopy the monitoring of UPD-3 technique had highly successful rate, and had guided doctors releasing the loops, shorten the length of the colonoscopy, and had shorter inserting time and reduced the patients＇ pain.