碳酸饮料溶石联合内镜碎石术治疗植物性胃石症的效果分析  

Effectiveness of treating gastric phytobezoars by combination of carbonated beverage litholysis and endoscopic lithotripsy

作　　者：崔艳霞[1] 丁辉[1] 杨玉秀[1] 

机构地区：[1]郑州大学人民医院消化科(河南省人民医院),河南450003

出　　处：《中华胃肠内镜电子杂志》2017年第1期19-22,共4页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：目的探讨分析口服碳酸饮料溶石联合内镜碎石术治疗植物性胃石症的效果。方法回顾性分析郑州大学人民医院(河南省人民医院)消化内科自2012年6月至2016年6月收治的115例胃石症患者的临床资料及治疗方法。结果 115例胃石症患者中,1例患者入院时即有肠梗阻直接转至外科手术、26例(22.61%)仅经口服碳酸饮料后成功溶石、88例(76.52%)患者应用口服碳酸饮料溶石联合内镜碎石术治疗,其中82例(93.18%)患者成功治疗,6例(6.82%)患者治疗后导致肠梗阻而行外科手术治疗。结论对于植物性胃石而言,联合应用口服碳酸饮料溶石及内镜碎石技术治疗是一种安全、有效的治疗方法。Objective To discuss and analyze the therapeutic effect of gastric phytobezoars by combining carbonated beverage litholysis and endoscopic lithotripsy. Methods A retrospective study was conducted to analyze the clinical and therapeutic data of 115 patients with gastric phytobezoars who were admitted to the department of gastroenterology at Zhengzhou University Peopled Hospital （ Henan Provincial People’s Hospital） from June 2012 to June 2016. Results Among the 115 patients with gastric phytobezoars, a case with intestinal obstruction on the first admission was directly transferred to surgery, 26 cases （22.62% ） were successfully gotten litholysis only after oral administration of carbonated beverage. Among the 88 patients （76.52% ） treated by combined therapy of carbonated beverage litholysis and endoscopic lithotripsy devices,82 patients （93. 18% ）were successfully cured and 6 patients （6. 82% ） after treatment encountered intestinal obstruction and then were treated by surgery. Conclusion The combined therapy of carbonated beverage litholysis and endoscopic lithotripsy is an effective and safe treatment for gastric phytobezoars.

关 键 词：植物性胃石 碳酸饮料 溶石 内镜碎石 

分 类 号：R573.8[医药卫生—消化系统]