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目的探讨胃内金属异物的介入治疗方法及价值。方法8例胃内金属异物患者均为男性,年龄28~46岁,平均32.2岁,均系在押或强行戒毒期间,均有经口金属异物进入史。经口腔将泥鳅导丝插入胃内,将套管用液体石蜡润滑,沿导丝插入胃内,退出泥鳅导丝,将2.6m长导丝捏鼻后顺套管插入胃内,把长导丝在胃内做成大的圈套,控制并旋转圈套,使之套住异物一端,缓慢拉紧导丝,推送套管,将异物套牢,锁紧导丝,将异物缓慢拉出。结果8例患者共12件胃内金属异物全部安全取出,未出现任何并发症。结论介入法取胃内异物操作简便易行、创伤小、费用低、效果好、并发症少,门诊治疗,一般不需住院,患者乐于接受,是治疗胃内异物的理想方法。
Objective To investigate the method and value of interventional treatment of intragastric metal foreign body. Methods Eight patients with intragastric metal foreign bodies were male, aged from 28 to 46 years (mean, 32.2 years old). All of them were in the history of oral metal foreign bodies during detention or forced detoxification. Loach guide wire inserted into the stomach, the casing lubricated with liquid paraffin, along the guide wire inserted into the stomach, loach guide wire, the 2.6m long wire nostrils after the cannula into the stomach, the long guide wire in the The stomach made a large trap, control and rotate the trap, so that one end of the set of foreign body, slowly tighten the guide wire, push the sleeve, the foreign body jail, locking guide wire, the foreign body slowly pulled out. Results A total of 12 intragastric metal foreign bodies in 8 patients were safely removed without any complications. Conclusion Interventional method is simple and easy to operate with foreign body in the stomach, less trauma, less cost, better result, fewer complications, outpatient treatment, generally do not need hospitalization, and patients are willing to accept. It is an ideal method for treating foreign body in the stomach.