胃镜下牵线法置入鼻空肠管在儿童中的有效性及安全性研究

The effectiveness and safety of nasojejunal tube placement by gastroscopic wire drawing in children

目的探讨胃镜下牵线法置入儿童鼻空肠管的有效性和安全性。方法回顾性分析本院2016年1月至2021年12月行鼻空肠管置入的患儿临床资料,比较胃镜下牵线法(观察组)和胃镜旁抓持置管法(对照组)置入鼻空肠管的操作时间、成功率及并发症发生的情况。结果167例患儿中,观察组65例,对照组102例,两组患儿性别、年龄差异无统计学意义(P>0.05)。观察组操作时间(6.7±0.8)min,对照组操作时间(8.2±1.3)min,差异有统计学意义(t=8.312,P<0.001)。观察组1次成功率为100%,而对照组为96%。对照组1例患儿出现十二指肠球部黏膜糜烂出血,观察组无糜烂、出血、穿孔等并发症。结论胃镜下牵线法置入鼻空肠管操作时间短,操作成功率高,并发症发生率低,与胃镜旁抓持置入法相比具有显著的优越性。

Objective To investigate the effectiveness and safety of nasojejunal tube placement in children by gastroscopic drafting method.Methods We retrospectively analyzed the clinical data of children with nasojejunal tube placement from January 2016 to December 2021 in our hospital,and compared the operation time,successful rate and complications of nasojejunal tube placement in the gastroscopic wire drawing method retraction group(observation group)and the gastroscopic foreign body clamp placement method placement group(control group).Results All of the 167 cases,65 cases were in observation group and 102 cases in control group.There were no significant differences in sex and age between two groups(P>0.05).The operation time was(6.7±0.8)min in observation group and(8.2±1.3)min in control group,and the difference was statistically significant(t=8.312,P<0.001).The successful rate was 100%in observation group and 96%in control group.One child in control group complicated with the mucosal erosion and bleeding in the duodenal bulb,while the observation group with no erosion,bleeding,perforation,and other complications.Conclusion The gastroscopic wire drawing method of nasojejunal tube placement has a shorter operation time,higher successful rates,and lower complication rates,which is significantly superior to the gastroscopic foreign body clamp placement method.