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目的分析了其成因、治疗效果、各种并发症以及可能的潜在危害。方法胃镜直视下以活检钳及圈套器反复钳取等方法破坏结石表面层,继以5%碳酸氢钠、奥美拉唑口服。结果 20例患者17例四周内结石排除,2例内镜治疗失败,1例并胃穿孔,均改为手术治疗。结论内镜下治疗多可排除,但随结石病史延长,碎石难度增加,胄结石多并发胃黏膜损伤、溃疡等,可产生各种并发症,如出血、肠梗阻,甚至穿孔,其潜在危害不容忽视。
Objective To analyze the causes, treatment effects, various complications and the potential harm. Methods Gastroscope under direct vision with biopsy forceps and snareps repeatedly pliers and other methods to destroy the stone surface layer, followed by 5% sodium bicarbonate, omeprazole orally. Results Twenty patients were excluded from the stones in 17 patients within 4 weeks. Two patients failed to receive endoscopic treatment and one patient had perforation of the stomach, both of whom were surgically treated. Conclusions Endoscopic treatment can be ruled out. However, with the prolonged history of stone, the difficulty of gravel, the increase of stones and gastric mucosal injury and ulcer, it can produce various complications such as hemorrhage, intestinal obstruction and even perforation, and its potential harm Can not be ignored.