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男性,73岁,6年前因膀胱癌行全膀胱切除,右半结肠回盲部腹壁造口可控性膀胱术。1995年3月19日因左腹股沟疝行嵌顿松解加疝修补术,术后5d,用26号新肛管引流尿液,因固定不良而随结肠蠕动进入回结肠膀胱内,腹透见右中腹有卷曲3/2圈的肛管存留,予腹壁造口插管排尿与消毒铺巾,应用日产GIF—XQ_(10)型细径胃镜,通过造口进入回结肠膀胱,循腔进镜16cm,见肛管卷曲于结肠,但不能显示头尾两端,以圈套器与异物钳试取失败,遂选1.5m长市售羽毛球拍胶丝,头端折迭3cm后经活检孔插入,在回结肠膀胱内呈“L”状弹开后越过管身,再插入活检钳,在肛管的另一侧钳稳胶丝头端,退钳至活检孔内,使胶丝呈套兜住管身并靠贴胃镜,一同退出腹壁造口而取出成功。
Male, 73 years old, with a total cystectomy of the bladder cancer 6 years ago and a controllable bladder surgery of the right semiglip ileocecal abdominal stoma. March 19, 1995 due to left inguinal hernia incarcerated ligation and hernia repair, 5d after surgery, with the new drainage tube on the 26th urine, due to poor fixation with the colon peristalsis into the colon and back to the bladder, abdominal see see Right middle abdomen with curled 3/2 lap of the anal canal retention, to the abdominal wall of the stoma catheterization disinfection and drape, the use of Nissan GIF-XQ_ (10) small diameter gastroscopy through the stoma into the colon and urinary bladder, 16cm, see the anal canal curled in the colon, but can not show both ends of the head and tail to snare and foreign body test failed, then choose 1.5m long commercial badminton racket glue, head end folded 3cm after biopsy insertion, In the loop back to the intestine was “L” bounce over the tube after the bounce, and then insert the biopsy forceps, the other side of the anal pliers steady wire end, the pliers to the biopsy hole, Body and by Gastroscope, together with the withdrawal of the stoma and remove the success.