Application of self-made multifunctional accessory stent in endoscopic mucosal dissection
10.3760/cma.j.cn211501-20210330-00944
- VernacularTitle:自制多功能器械附件支架在内镜黏膜剥离术中的应用研究
- Author:
Chunrong MO
1
;
Xueqiang HE
;
Shengai ZHONG
;
Huajun LI
;
Yu HU
;
Lu QIN
;
Shuihuan LU
;
Lin WANG
;
Hong XIONG
;
Shuiying ZHOU
Author Information
1. 中国人民解放军联勤保障部队第九二四医院消化内科，桂林 541002
- Keywords:
Self-made endoscopic instrument accessory stent;
Endoscopy;
Endoscopic mucosal dissection;
Nursing care
- From:
Chinese Journal of Practical Nursing
2022;38(1):45-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and efficacy of self-made multifunctional endoscopic instrument accessory stent in endoscopic mucosal dissection (ESD).Methods:A total of 80 patients who received ESD in 924th Hospital of Joint Logistic Support Force of Chinese People′s Liberation Army from May 2019 to February 2021 were selected as research object. Random number table method was used to divide patients into control group and experimental group, 40 cases in each group. The experimental group used self-made endoscopic instrument accessory stent, and the control group did not use self-made endoscopic instrument accessory stent. The length of operation, the number of instruments taken by mistake, the number of instruments polluted during operation and the infection of postoperative 3-7 days under the same operation position, operating doctors and nurses were analyzed and compared between the two groups.Results:The incidence of instruments taken by mistake, the incidence of instruments polluted during operation and the infection rate of postoperative 3-7 days were 0.9% (8/856), 1.4% (12/856) and 2.5% (1/40) in the experimental group, which in the control group were 10.8% (96/887), 11.8% (105/887) and 15.0% (6/40) respectively, there were significant differences between the two groups ( χ2=75.92, 75.76, 3.91, all P<0.05). The length of operation in the experimental group was (51.56 ± 2.32) min, and that in the control group was (79.02 ± 2.83) min, the difference was statistically significant ( t=-8.72, P<0.05). Conclusions:When the patients underwent ESD surgery, the self-made multifunctional accessory stent was used to place the required instrument accessory. The length of operation was shorter, the incidence of instruments taken by mistake, the incidence of instruments polluted during operation and the infection rate of postoperative 3-7 days were reduced, the quality of minimally invasive endoscopic surgery was improved.
