20例植物性胃石综合治疗临床分析  

Combination Therapy of Gastric Phytobezoar:Clinical Analysis of 20 Cases

作　　者：王钧[1] 周毅[1] 姜莉[1] 谢艳[1] 王婧[1] 

机构地区：[1]解放军第451医院消化内科,710054

出　　处：《胃肠病学》2011年第5期301-303,共3页Chinese Journal of Gastroenterology

摘　　要：背景:植物性胃石多见于我国北方地区,治疗方法包括溶石、内镜碎石、外科手术等。目的:评价内镜碎石联合药物综合治疗植物性胃石的疗效和安全性。方法:2006年1月～2009年7月.解放军第451医院共有20例植物性胃石患者接受内镜圈套勒除、高频电切、胃石切割碎石专用器械碎石治疗.术后予碳酸氢钠溶液口服和质子泵抑制剂静脉滴注。对上述患者的治疗经过和结果进行回顾性分析。结果:16例(80.0%)胃石症患者合并胃溃疡,9例(45.0%)幽门螺杆菌阳性。综合治疗一次碎石成功率为80.0%,总成功率为100%,无一例患者术后发生胃穿孔、出血、肠梗阻等并发症。结论:胃石症患者易合并胃溃疡。内镜碎石联合药物综合治疗植物性胃石效果肯定.安全可靠。Background： Gastric phytobezoar is frequently seen in North China. The treatment options include dissolution with enzymes, endoscopic fragmentation and surgery. Aims： To evaluate the efficacy and safety of treating gastric phytobezoar by endoscopic fragmentation combined with drug therapy. Methods： From Jan. 2006 to Jul. 2009, a total of 20 cases with gastric phytobezoar were treated with endoscopic fragmentation via different approaches including snares, high-frequency electricity, and cutting lithotripter in No. 451 Hospital of Chinese PLA. Oral sodium bicarbonate and intravenous proton pump inhibitor were given after the endoscopic procedure. The treatment course and outcome were analyzed retrospectively. Results： Gastric ulcer was found in 16 phytobezoar patients （80.0%）, and 9 patients （45.0%） were positive for Helicobacterpylori. Gastric phytobezoars were successfully removed in 16 cases （80.0%） at one time by the combination therapy. All of the cases were cured by the combination therapy. No serious postoperative complications such as gastric perforation, bleeding and intestinal obstruction were observed. Conclusions： Patients with gastric phytobezoar are prone to develop gastric ulcer. It is safe, feasible and effective to treat gastric phytobezoar by the combination of endoscopic fragmentation and drug therapy.

关 键 词：胃肠结石 胃镜 碎石术 

分 类 号：R573.8[医药卫生—消化系统]