双通道胃镜在上消化道病变小探头超声检查中的应用

摘要

Objective To evaluate the clinical application value of double-channel endoscopy in the examination of lesions in the upper gastrointestinal tract by miniprobe sonography. Methods Five hundred and twenty-two patients were collected who accepted the examination of miniprobe sonography in the upper gastrointestinal tract from Jan. 2012 to Jan. 2014. The operation was accomplished by double-channel endoscopy in one group of 266 patients ( DCE group) , and single-channel endoscopy in the other group of 256 patients ( SCE group) . All patients undergone anesthe-sia by propofol intravenously. The duration of operation, the dose of propofol and side effects were compared between two groups. Results One hundred and fourteen patients and 110 patients with lesions in esophagus, 116 patients and 116 patients with lesions in stomach and 36 patients and 30 patients with lesions in duodenum were examinated in DCE group and SCE group, respectively. The average time of operation, the average time of operation in the examination of esophagus lesions and duodenum lesions were significant difference in DCE group and SCE group ( P <0 . 05 ) . The averagedose of propofol, the average dose of propofol in the examination of esophagus lesions and duodenum lesions were significant difference in DCE group and SCE group (P<0. 05). Two patients (1. 75%) who were accepted the exami-nation of esophagel lesions had the side effect in DCE group, and 10 patients (9. 09%) in SCE group (P<0. 05). Conclusion Compared with single-channel endoscopy, the time of operation, the dose of propofol and side effects are shorter and less by double-channel endoscopy in the examination of esophagus lesions and duodenum lesions. It deserves to be noticed in clinical practice.%目的：评价双通道胃镜在上消化道病变小探头超声检查中的应用价值。方法将武警后勤学院附属医院2012年1月-2014年1月行上消化道小探头超声检查的522患者随机分为两组，一组患者采用双通道胃镜操作(双通道组266例)，一组患者采用单通道胃镜操作(单通道组256例)，两组均使用丙泊酚行无痛技术实施检查。观察两组患者的操作时间、丙泊酚药物用量、不良反应。结果双通道组、单通道组检查食管、胃部、十二指肠病变分别为114例和110例、116例和116例、36例和30例。两组的平均操作时间、食管、十二指肠病变的平均操作时间比较，差异有统计学意义(P<0.05)；两组丙泊酚平均用量、检查食管、十二指肠病变平均丙泊酚用量比较，差异有统计学意义(P<0.05)；两组检查食管病变不良反应分别为2例和10例，发生率分别为1.75%、9.09%(P<0.05)；两组在胃部、十二指肠病变检查中未见明显不良反应。结论使用双通道胃镜对食管、十二指肠病变行小探头超声检查可缩短操作时间、减少丙泊酚药物用量、减少不良反应，值得临床进一步推广应用。