Design and clinical application of a new method for oronasal conversion and fixation of nasobiliary duct
10.3760/cma.j.cn321463-20230603-00515
- VernacularTitle:鼻胆管口鼻转换及固定新方法的设计与临床应用
- Author:
Xiuzhen GAO
1
;
Yongmei YOU
;
Lijun HAN
;
Lili MA
;
Cheng ZHANG
;
Yanli NI
;
Wei LIU
;
Shengjun ZHU
;
Lingling YANG
Author Information
1. 同济大学附属东方医院胆石病中心，上海 200120
- Keywords:
Drainage;
Endoscopy room management;
Endoscopic nasolbiliary drainage;
Nasobiliary duct;
Oronasal conversion;
Guide wire
- From:
Chinese Journal of Digestive Endoscopy
2023;40(12):1010-1014
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the clinical value of a new method of guide wire extraction and single reverse-α fixation with short nasobiliary duct for oronasal conversion and fixation, patients who underwent endoscopic nasobiliary drainage in Shanghai East Hospital, Tongji University from January to August 2022 were selected. They were randomly divided into guide wire extraction and single reverse-α fixation with short nasobiliary duct group (the observation group, n=145) and guide wire taking and reverse-α fixation group (the control group, n=71). The operation time, one-time operation success rate, adverse events, comfort and satisfaction between the two groups were compared. The operation time in the observation group was significantly shorter than that in the control group [102 ( 91, 117) s VS 136 (127, 145) s, Z=-9.639, P<0.001]. The one-time operation success rate in the observation group was significantly higher than that in the control group [88.28% (128/145) VS 67.61% (48/71), χ2=13.496], the nasopharynx stimulation score [1 (1, 2) VS 2 (1, 2), Z=-4.457] and adverse events incidence [4.14% (6/145) VS 15.49% (11/71), χ2=8.475] in the observation group were significantly lower than those in the control group ( P<0.05). During the indwelling of nasobiliary duct, the bile drainage volume (179.45±81.54 mL VS 142.89±55.69 mL, t=3.407) and nursing satisfaction score (7.72±0.99 VS 6.06±1.07, t=11.337) in the observation group were higher than those in the control group, and the comfort score (3.00±1.01 VS 4.83±0.99, t=-12.642) and incidence of adverse events [3.45% (5/145) VS 14.08% (10/71), χ2=8.344] in the observation group were lower than those in the control group ( P<0.05). The operation time of nasobiliary duct removal in the observation group was significantly shorter than that in the control group (9.00±1.14 s VS 11.93±1.36 s, t=-16.616, P<0.001). In conclusion, the guide wire extraction and single reverse-α fixation with short nasobiliary duct for nasobiliary oronasal conversion and fixation in endoscopic nasobiliary drainage has the advantages of simple operation, small irritation response and low complication incidence, which is worth of clinical promotion.
