介入法取出胃内金属异物30例  

Interventional management for intra- gastric metallic foreign bodies:clinical analysis of 30 cases

作　　者：贺祥[1,2] 张和平[1,2] 任学群[3,2] 靳海英[1,2] 张杰[1,2] 王长福[1,2] 王晓宏[1,2] 李长坡[1,2] 袁天华[1,2] 

机构地区：[1]河南大学淮河医院影像科 [2]河南大学医学影像研究所,开封475000 [3]河南大学淮河医院普外科

出　　处：《介入放射学杂志》2013年第4期328-330,共3页Journal of Interventional Radiology

摘　　要：目的探讨介入治疗胃内金属异物的方法、安全性和疗效。方法 30例胃内金属异物患者,均有经口金属异物吞入史。临床表现有上腹部疼痛不适、纳差、消化不良,精神抑郁,粪便潜血实验阳性。30例患者接受介入治疗,观察患者的医疗费用、手术时间、疗效及并发症。结果 30例患者共32件胃内金属异物经自行制作的圈套器全部安全取出,未出现食管及胃黏膜损伤、出血及其他并发症。结论介入法取胃内金属异物具有操作简便、创伤小、安全性高、费用低、效果好、并发症少等优点,门诊治疗,不需住院,患者易于接受,是治疗胃内金属异物的理想方法。Objective To discuss the manipulation, safety and effectiveness of interventional management in treating intra-gastric metallic foreign bodies. Methods A total of 30 patients with intra- gastric metallic foreign bodies were enrolled in this study. All patients were males, aged 22 - 54 years with a mean age of 37.8 years. A history of orally-taking metallic foreign body existed in all patients. The clinicalmanifestations included upper abdominal pain, discomfort, anorexia, indigestion, depression, positive occult blood in stool. Interventional treatment was carried out in all patients. The medical expense, operation time, therapeutic efficacy and complicationswere recorded, and the resuhs were analyzed. Results A total of 32 pieces of stomach metallic foreign body were successfully removed in 30 patients. Neither injuries of esophageal and gastric mucosa nor bleeding of upper digestive tract occurred. Conclusion Using interven- tional management to remove intra- gastric metallic foreign body has many advantages as this technique is technically-simple, minimally-invasive and highly safe. Besides, this technique carries satisfactory therapeutic effectiveness with less cost and fewer complications. Moreover, the patients need not to stay in hospital, and the procedure is easily acceptable by all patients. Therefore, this therapy is an ideal treatment for gastric metallic foreign bodies.

关 键 词：胃疾病 异物 金属 放射学 介入性 

分 类 号：R656.6[医药卫生—外科学]