To investigate the efficacy and safety of yellow zebra guide wire exchange system in the treatment of complete upper digestive stenosis. To analyze the success rate and adverse events, a retrospective analysis was conducted on patients with complete digestive stenosis in Zhongda Hospital Affiliated to Southeast University from May 2019 to April 2023 and the First Affiliated Hospital of Nanjing Medical University from August 2011 to March 2015. A total of 41 patients were included, including 25 males and 16 females, aged (65±12) years (28-94 years). Among them, 40 patients were successfully inserted with yellow zebra guide wire and underwent endoscopic treatment using the outer tube replacement with hard steel wire, with 97.6% (40/41) effective rate. Eleven patients (27.5%) were accompanied by varying degrees of retrosternal pain, without complications such as bleeding or perforation.
探讨黄斑马导丝交换系统治疗完全性上消化道狭窄的有效性及安全性。回顾性分析2019年5月至2023年4月于东南大学附属中大医院及2011年8月至2015年3月于南京医科大学第一附属医院就诊的完全性上消化道狭窄患者,分析黄斑马导丝交换系统在内镜下治疗的成功率及不良事件发生情况。共纳入41例患者,男25例,女16例,年龄(65±12)岁(28~94岁)。其中40例患者成功插入黄斑马导丝,利用外套管置换为硬钢丝后顺利行内镜下的治疗,整体有效率为97.6%(40/41)。11例患者(27.5%)伴随不同程度的胸骨后疼痛,无出血、穿孔等并发症。.