在印度的第三级推中心进行了无镇静的跨鼻腔内镜体验
Ravi Teja Pasam1, Srilekha Chava2, Nagabhushanam Gollapalli2
1Wentworth-Douglass Hospital, Dover, New Hampshire, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
无透鼻腔内镜 (uTNE) 为无透口腔EGD提供了可行的替代方案,证明了高成功率和患者耐受性. 需要进一步的研究来比较UTNE与安静剂手术.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 医疗器械 医疗器械
背景情况:
- 无透鼻腔内镜 (uTNE) 于20世纪90年代开发,但尚未得到广泛采用.
- 本研究介绍了在印度的第三级推中心对UTNE的经验.
研究的目的:
- 评估无透鼻内镜 (uTNE) 的可行性,成功率和患者耐受性,以诊断上部胃肠内镜 (EGD).
- 为了比较UTNE的结果与未化口腔EGD (uPO-EGD),目前的护理标准.
主要方法:
- 对从2014年1月至2017年9月期间接受 uTNE 患者前性收集的数据进行了回顾性分析.
- 患者在手术前接受局部麻醉 (利多卡因和西洛梅塔佐林).
- 与之前的PO-EGD相比,结果包括成功完成,转换为PO-EGD,表和患者耐受性.
主要成果:
- 在440名患者中,414名患者 (94.1%) 成功完成了UTNE.
- 男性性别与成功完成UTNE有显著的关联 (OR,2.67).
- 93.09%的患者比之前的PO-EGD更好地容忍UTNE,没有报告重大不良事件.
结论:
- 无透鼻腔内镜 (uTNE) 是诊断EGD的安全和耐受良好的替代方案.
- uTNE应该被认为是诊断EGD的患者的选择.
- 需要进行进一步的研究,将UTNE与镇静剂程序进行比较,以评估成本效益和安全性.
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