论文部分内容阅读
目的分析应用胃石切割器治疗巨大胃石的的实用性、有效性和安全性,探讨治疗胃石的方法。方法对胃石患者术前口服奥美拉唑、碳酸氢钠,术中从活检孔插入胃石切割器,对于椭圆形结石沿长轴方向套入,收紧切割器,切开胃石。对于直径较大、表面较光滑的类圆形胃石,可用异物钳反复钳咬胃石,使其表面形成切迹后再套入切割器切割。如此反复切割,直至胃石小于2 cm后,再用三爪钳或异物钳尽量钳夹破碎石后取出。术后口服碳酸氢钠溶液、莫沙必利、蓖麻油、奥美拉唑。3 d～1周后复查胃镜。结果 15例1次碎石胃石排尽,7例巨大结石者经第2次碎石后胃石消失,1例出现肠梗阻,转外科手术治疗痊愈。结论经胃镜应用胃石切割器,严格按照规范程序治疗巨大胃石,安全有效,值得基层医院推广。
Objective To analyze the practicability, effectiveness and safety of gastrolith cutter in the treatment of giant gastrostoma and to discuss the method of treating gastrolith. Methods Oesprazole and sodium bicarbonate were given orally to patients with gastropathy before operation. Gastrostomy was inserted into the stone from the biopsy hole in the operation, and the oval stone was inserted along the long axis to tighten the cutter. For larger diameter, the surface is relatively smooth class round gastropods, can be used to forceps repeatedly clamp the stomach stone, the surface after the formation of notch cut into the cutter. So repeatedly cut until the stomach stone is less than 2 cm, and then use the three-jaw forceps or foreign body forceps as much as possible to clamp the broken stone removed. Postoperative oral sodium bicarbonate solution, mosapride, castor oil, omeprazole. 3 d ~ 1 week after the review gastroscopy. Results 15 cases of first gravel gastropods drained, 7 cases of huge stones disappeared after the second gravel gastrocnemius, intestinal obstruction occurred in 1 case, transferred to surgical treatment cured. Conclusion Gastroscope application of gastrostomy, in strict accordance with the standard procedure for the treatment of giant gastritis, safe and effective, it is worth promoting the primary hospital.