首页|上消化道异物内镜治疗的应用和有关操作研究

上消化道异物内镜治疗的应用和有关操作研究

Study on the Application of Instruments and Related Operations in Endoscopic Treatment of Foreign Bodies in Upper Digestive Tract

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目的:总结上消化道异物患者特点及内镜治疗的应用和有关操作.方法:选择2021年1月~2022年7月的30例上消化道异物患者,病史结合影像学了解异物情况,内镜直视下选择合适器械进行处理并观察异物嵌顿部位黏膜的损伤情况,异物取出后应禁食24h水,并观察是否有出血,穿孔及发热,对穿孔的患者应留置胃管,抑酸,抗感染及营养支持.结果:在进入研究的30例上消化道异物患者中,男性18例,占60.00%,女性12例,占40.00%;年龄低于18岁的有7例,占23.33%;年龄在19~40岁的有2例,占6.67%;年龄在41~60岁的有3例,占10.00%;年龄超过61岁的有18例,占60.00%.枣核异物的有15例,占50.00%;鱼刺异物有10例,占33.33%;胃石的有5例,占16.67%.15例食管枣核异物患者应用内镜下异物取出术,均使用异物钳取出,成功率100%,并发症2例,均为轻度血肿;10例食管鱼刺异物,应用内镜下异物取出术,均使用异物钳取出,成功率100%,并发症1例,为轻度黏膜损伤;5例胃石患者应用内镜下碎石术均使用电圈套器反复切割至小块后,取石网盒取出,成功率100%,并发症2例,均为轻度胃粘膜损伤.结论:食物类是常见类型,合适选择器械进行内镜治疗能够有效治疗上消化道异物.
Objective:To summarize the characteristics of patients with foreign bodies in upper digestive tract and the application and operation of endoscopic therapy.Methods:30 patients with foreign bodies in the upper digestive tract from January 2021 to July 2022 were selected,history combined with imaging to understand foreign body,under the direct vision of endoscope,appropriate instruments were selected for treatment and the mucosal injury at the site of foreign body embedment was observed,the foreign body should be removed after 24 hours of water fasting,and watch for any bleeding,perforation and heating,a gastric tube should be placed in patients with perforation,acid inhibition,anti-infection and nutritional support.Results:Among the 30 patients with foreign bodies in the upper gastrointestinal tract who entered the study,there were 18 males,accounting for 60.00%,and 12 females,accounting for 40.00%;There are 7 cases under the age of 18,accounting for 23.33%;There were 2 cases aged between 19 and 40 years old,accounting for 6.67%;There were 3 cases aged between 41 and 60 years old,accounting for 10.00%;There were 18 cases over 61 years old,accounting for 60.00%.There were 15 cases of foreign bodies in jujube pits,accounting for 50.00%,10 cases of foreign bodies in fish bones,accounting for 33.33%,and 5 cases of gastric stones,accounting for 16.67%.15 patients with esophageal jujube nucleus foreign body underwent endoscopic foreign body removal surgery,all of which were removed using foreign body forceps with a success rate of 100%.There were 2 complications,all of which were mild hematomas;10 cases of esophageal fishbone foreign bodies were treated with endoscopic foreign body removal surgery,all of which were removed using foreign body forceps with a success rate of 100%.1 case had a complication,which was mild mucosal injury;5 patients with gastric stones underwent endoscopic lithotripsy,all of which were repeatedly cut into small pieces using an electric snare and then removed with a mesh box.The success rate was 100%,and there were 2 complications,all of which were mild gastric mucosal injuries.Conclusion:Food is a common type,and endoscopic treatment with appropriate instruments can effectively treat foreign body in upper gastrointestinal tract.

upper digestive tract foreign bodyendoscopic treatmentdevice applicationoperation

张倩倩

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天津市第四中心医院(天津 300240)

上消化道异物 内镜下治疗 器械应用 操作

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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