76例上消化道内异物内镜治疗临床分析  

作　　者：任学云[1] 白飞虎[1] 惠亮亮[1] 白芳芸[1] 张涛[1] 

机构地区：[1]宁夏医科大学附属医院消化内科,750004

出　　处：《当代医学》2010年第31期44-45,共2页Contemporary Medicine

基　　金：宁夏回族自治区卫生厅重点项目(2008);宁夏回族自治区教育厅重点项目(2008);宁夏医科大学特殊人才项目(2007)

摘　　要：目的探讨上消化道异物内镜下取出方法,提高异物取出成功率。方法收集1998～2008年76例上消化道异物患者临床及胃镜资料,分析异物部位、大小、形状以及所选用的不同器械取出方法,比较不同类型异物取出率的差异,计算食管破裂、食管穿孔、大出血、纵隔炎、气胸、吸入性肺炎等并发症的发生率。结果 76例上消化道异物取出总体成功率92%(70/76),其中圈套器取异物占39%(30/76),成功率97%(29/30);腭口钳取异物占38%(29/76),成功率93%(27/29);三爪钳取异物占15.7%(12/76),成功率92%(11/12),螺旋网篮形异物钳取异物占6.6%(5/76),成功率60%(3/5),均未见食管破裂、食管穿孔、大出血、纵隔炎、气胸、吸入性肺炎等并发症。结论根据异物特点选择合适器械,设计合理的取出方法,可提高上消化道内特殊异物的取出率,减少患者痛苦,降低并发症。Objective To approach the techniques and management of endoscopic removal of foreign bodies from upper gastrointestinal tract. Methods Clinical and endoscopic data of 76 upper gastrointestinal tract foreign body cases in our Hospital from 1998 to 2008 were collected. The types, locations and therapeutic tools of 76 foreign body cases were analyzed and the applications of different therapeutic tools, techniques and management for different foreign bodies were summed up and evaluated. Results The overall removal success rate was 92% （70/76）. No obvious complications such as bleeding, mediastinitis, esophageal perforation and pulmonary aspiration were found. Conclusion Higher removal success rate and fewer complications depend on the appropriate choice of device and the rational use of endoscopic techniques and management.

关 键 词：内镜 上消化道出血 异物 

分 类 号：R57[医药卫生—消化系统]