文章摘要
Ruijie Zhang,Yu Deng,Shengling Fu,Yixin Cai,Ni Zhang,Xingning Fu. A novel technique to insert nasogastric tube for the anesthetized patients during esophageal reconstruction. Oncol Transl Med, 2014, 13: 532-534.
食管重建术中新的胃管留置法
A novel technique to insert nasogastric tube for the anesthetized patients during esophageal reconstruction
Received:September 04, 2014  Revised:October 27, 2014
DOI:10.1007/s10330-314-0002-z
中文关键词: 胃管留置;食管重建;钉钻头
英文关键词: nasogastric tube (NGT) insertion; esophageal reconstruction; nail groove
基金项目:
Author NameAffiliationE-mail
Ruijie Zhang Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China jerry_zhang@tjh.tjmu.edu.cn 
Yu Deng Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China leojokea@aliyun.com 
Shengling Fu* Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China t0102005@126.com 
Yixin Cai Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China  
Ni Zhang Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China  
Xingning Fu Department of Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China fuxn2006@aliyun.com 
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中文摘要:
  目的:探索应用于全麻食管重建术患者的一种新的使用钉钻头引导的胃管置入方法。 方法:40例中上段食管癌均需要颈部吻合术,随机分为新的胃管置入法(N组)和传统胃管置入法(C组)两组,比较两组的置入胃管时间、一次成功率、胃管盘曲率及并发症发生率。 结果:N组患者均一次成功,没有患者发生胃管盘曲,所用时间平均为5.05±1.15分钟;对应的C组患者一次成功率为40%(p<0.05),30%的患者发生了胃管盘曲,所用时间平均为24.45±5.23分钟。两组出血并发症发生率无统计学意义。 结论:对于全麻食管重建术患者,新的胃管置入方法操作简便,有效节约手术时间,提高成功率,同时并不增加置管并发症,值得推广应用。
英文摘要:
    Objective: We are describing a novel technique to insert nasogastric tube (NGT) in the anesthetized patients during cervical esophageal reconstruction. Methods: Forty patients with mid and upper esophageal tumor enrolled into this study were randomly allocated into two groups (the control group, group C and the novel method group, group N). All the patients were applied mechanical anastomosis to finish the cervical esophageal reconstruction. The procedure of NGT insertion for group C use the conventional method; well, the group N use the novel technique. Results: All the patients in group N had been finished the NGT insertion in the first attempt, and the total time for insertion was (5.05 ± 1.15) mins; on the contrary, for the group C, duration of insertion (min) was (24.45 ± 5.23) mins, and the successful rate of NGT insertion in the first attempt was 40% (P < 0.05); no one in group N had coiling/kinking, and 6/20 (30%) in group C had it (P = 0.020). The complication rate of bleeding between the two group had no significant difference. Conclusion: For the patient with mid and upper esophageal tumor who need cervical esophageal reconstruction, this novel method can save the NGT insertion time, and make it easier with higher successful rate.
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