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...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。展开更多
Objective： The aim of this study was to compare the anatomic-landmark and ultrasound-guided techniques in the placement of an internal jugular vein port in patients with advanced breast cancer. Methods： Between Marc...Objective： The aim of this study was to compare the anatomic-landmark and ultrasound-guided techniques in the placement of an internal jugular vein port in patients with advanced breast cancer. Methods： Between March 2010 and October 2010, 60 patients with advanced breast cancer underwent central venous port placement for the delivery of chemotherapy, preferably through the internal jugular vein. Patients were randomly assigned to either the anatomic-landmark or the ultrasound-guided group. Failure on first attempt, number of attempts until successful catheterization, time to successful placement, the accordance of the two placement approaches, and the demographics of each patient were recorded. Results： The consistency of the direction of two lines drawn using the anatomic-landmark and ultrasound-guided techniques or of the diameter of the internal jugular vein as determined by the two approaches was 85% （51/60）. The rate of successful place- ment at first attempt was higher in the ultrasound group than in the anatomic-landmark group （P 〈 0.05）. A greater number of attempts and longer time to successful port placement were needed in the latter （P 〈 0.05）. Conclusion： The findings of this study indicate that, in the placement of an internal jugular vein port, the ultrasound （US）-guJded technique has several advantages over the anatomic-landmark technique.展开更多
文摘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。
文摘Objective： The aim of this study was to compare the anatomic-landmark and ultrasound-guided techniques in the placement of an internal jugular vein port in patients with advanced breast cancer. Methods： Between March 2010 and October 2010, 60 patients with advanced breast cancer underwent central venous port placement for the delivery of chemotherapy, preferably through the internal jugular vein. Patients were randomly assigned to either the anatomic-landmark or the ultrasound-guided group. Failure on first attempt, number of attempts until successful catheterization, time to successful placement, the accordance of the two placement approaches, and the demographics of each patient were recorded. Results： The consistency of the direction of two lines drawn using the anatomic-landmark and ultrasound-guided techniques or of the diameter of the internal jugular vein as determined by the two approaches was 85% （51/60）. The rate of successful place- ment at first attempt was higher in the ultrasound group than in the anatomic-landmark group （P 〈 0.05）. A greater number of attempts and longer time to successful port placement were needed in the latter （P 〈 0.05）. Conclusion： The findings of this study indicate that, in the placement of an internal jugular vein port, the ultrasound （US）-guJded technique has several advantages over the anatomic-landmark technique.
