内镜下机械碎石治疗植物性胃石症疗效  

Therapeutic effect of endoscopic mechanical lithotripsy on plant gastrolithiasis

作　　者：孙超[1] 朱滢[1] 陈功 吴莹莹[1] 柴海娜[1] Sun Chao;Zhu Ying;Chen Gong;Wu Yingying;Chai Haina(Endoscopy Center,Subei People Hospital of Jiangsu Province,Yangzhou 225001,China)

机构地区：[1]江苏省苏北人民医院内镜中心,江苏扬州225001

出　　处：《中华消化病与影像杂志（电子版）》2018年第5期207-209,共3页Chinese Journal of Digestion and Medical Imageology(Electronic Edition)

摘　　要：目的探讨电子胃镜下治疗植物性胃石症的方法、效果及其安全性。方法 2012年4月至2017年4月在电子胃镜下根据具体情况选择适当的器械,包括五爪钳、鼠齿钳、异物网篮和圈套器等,治疗植物性胃石症40例,观察其疗效。结果 40例患者中,37例并发胃溃疡,碎石成功率为100%,其中4例分2次碎石,平均治疗时间36 min。术中胃黏膜因轻微机械性损伤有少量渗血,无其他明显并发症。结论内镜下应用适当的器械碎石或取石是治疗胃石症的有效方法,值得推广应用。Objective To explore the methods, effects and safety of electronic gastroscope for treating plant gastrolithiasis. Methods By means of the electronic gastroscope, appropriate instruments were selected according to the specific conditions, including five-jaw forceps, rat tooth forceps, foreign body mesh baskets, snares, etc. Forty patients with plant gastrolithiasis were treated and the curative effects were observed. Results Of the 40 patients,37 patients had gastric ulcers. The success rate of crushing stone was 100%. Four patients were completed lithotripsy by two times. The average treatment time was 36 minutes. Intraoperative gastric mucosa was slightly oozing due to slight mechanical injury and there were no other significant complications. Conclusion Appropriate equipment for lithotripsy or stone removal under endoscopy is an effective method for the treatment of gastrolithiasis and is worthy of popularization and application.

关 键 词：胃石症 异物钳 胃镜 圈套器 

分 类 号：R656.61[医药卫生—外科学]