Design and clinical application of a novel fixation device used for percutaneous transhepatic cholanginal drainage tube
10.3969/j.issn.1008-794X.2025.12.016
- VernacularTitle:一种新型PTCD引流管固定装置的设计与临床应用
- Author:
Qian QI
1
;
Yiwen WANG
;
Jun WANG
;
Huaijun CHENG
;
Xiaoyan FEI
Author Information
1. 200025 上海 上海交通大学医学院附属瑞金医院放射治疗科/上海交通大学护理学院
- Keywords:
fixation device;
percutaneous transhepatic cholangial drainage;
obstructive jaundice;
comfort level;
discharge readiness
- From:
Journal of Interventional Radiology
2025;34(12):1369-1375
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical application effect of a novel fixation device used for percutaneous transhepatic cholangial drainage(PTCD)tube in patients after receiving PTCD.Methods A novel type of fixed device for PTCD tube was independently designed and produced by authors.One hundred patients,who underwent PTCD(retention time of the tube at least one month)at the Department of Interventional Radiology,Ruijin Hospital,Shanghai Jiao Jong University School of Medicint from September 2024 to April 2025,were collected for this study.According to the order of hospitalization dates,the patients were divided into an observation group(n=50)and a control group(n=50).The patients in the observation group used a novel PTCD tube fixation device as secondary fixation,while the patients in the control group used conventional medical silk tape for cross type secondary fixation.The postoperative 2-hour pain scores,readiness for hospital discharge,comfort level of fixed device during PTCD tube retention for one month,drainage tube dropping-off rate,drainage obstruction rate,and incidence of peripheral dermatitis were compared between the two groups.Results The postoperative 2-hour pain scores and the comfort level after one-month retention of PTCD tube in the observation group were obviously lower than those in the control group,the differences were statistically significant(both P＜0.05).The PTCD tube dropping-off rate,poor drainage rate,and incidence of dermatitis in the observation group during tube retention period were lower than those in the control group(all P＜0.05).The readiness for hospital discharge of both groups was at a medium-to-low level,although the score of the observation group was higher than that of the control group,the difference was not statistically significant(P＞0.05).Conclusion The use of this novel PTCD tube fixation device can effectively increase the comfort level of patients during the period of carrying a tube.The modular ice pack component can alleviate postoperative pain,reduce the incidences of drainage tube dropping-off,drainage obstruction and peripheral dermatitis during tube retention period.Therefore,this novel PTCD drainage tube fixation device is worthy of clinical promotion and use.
