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目前,纤维内窥镜的临床应用,由诊断逐步趋向于诊断和治疗综合应用。一些外科手术中的切开、止血、缝合等基本操作已能在内窥镜下完成。早在1972年起国外一些国家已分别报道上消化道内异物通过纤维内窥镜直视下取出,有的还能顺利地从18个月婴儿胃内取出误吞的异物。同时,不断改进套取异物器械,使异物取出术不断完善,从而免去了外科手术。我院从1979年初至1981年底,分别对21例上消化道异物患者进行了急诊内窥镜下取出异物术,现报道如下。
At present, the clinical application of fiber endoscopy, from diagnosis gradually tend to diagnosis and treatment of integrated applications. Some surgical operations such as incision, hemostasis, sutures and other basic operations have been completed under the endoscope. As early as 1972, some foreign countries have separately reported that foreign bodies in the upper digestive tract were taken out directly under fiberoptic endoscopy, and some were able to smoothly remove swallowed foreign bodies from the stomach of an 18-month-old baby. In the meantime, the continuous improvement of the collection of foreign objects and instruments has enabled the continuous removal of foreign bodies, thereby eliminating the need for surgery. Our hospital from early 1979 to the end of 1981, respectively, 21 cases of upper gastrointestinal foreign body patients underwent emergency endoscopic removal of foreign body, are reported below.