十二指肠异物的诊断与治疗  

Diagnosis and treatment of duodenal foreign bodies

作　　者：王泽铭 沈可欣[1] 李瑞奇 杨洋 谢忠士[1] Wang Zeming;Shen Kexin;Li Ruiqi;Yang Yang;Xie Zhongshi(Department of Gastrointestinal Colorectal and Anal Surgery,China‑Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院胃肠结直肠肛门外科,长春130033

出　　处：《中华消化外科杂志》2022年第3期423-426,共4页Chinese Journal of Digestive Surgery

基　　金：吉林省省直厅局项目(3D5198171430、3D518U773430)。

摘　　要：异物吞食体内常无明显症状且可自行排出,但部分可能因误诊滞留体内而导致严重并发症。对于此类患者应综合不同诊断方式,一旦确诊应在必要时尽早治疗。笔者报道1例吞食木筷后滞留体内6年,致十二指肠穿孔后嵌入腰大肌并发腹腔脓肿的患者资料,在内镜辅助下行腹腔镜异物取出术,患者预后良好,旨在为该病的诊断与治疗提供参考。Most foreign bodies are often discharged without obvious symptoms after swallowing,but some may be misdiagnosed and stay in the body,resulting in serious complications.Different diagnostic methods should be integrated to diagnose such patients.Once diagnosed,they should be treated as soon as possible if necessary.The authors reported a case of retention in the body for 6 years after swallowing a wooden chopstick,resulting in the insertion into the psoas muscle after duodenal perforation,complicated by abdominal abscess.During the operation,endoscopic assisted laparoscopic foreign body removal was performed,and the patient showed good prognsis,which provided references for the diagnosis and treatment of the disease.

关 键 词：异物 十二指肠 诊断 治疗 外科手术 腹腔镜检查 

分 类 号：R656.64[医药卫生—外科学]