| 摘要: |
| ［摘要］ 目的 分析上消化道外源性异物的临床表现和内镜治疗效果。方法 对该院2004-10～2016-05接诊的165例上消化道外源性异物患者使用OlympusV-70和OlympusCV-150电子胃镜及Olympus CV-260电子胃镜进行治疗。结果 共实施内镜下治疗165例，其中3例学龄儿童患者实施丙泊酚（1～2 mg/kg）静脉麻醉无痛胃镜下取异物，74例患者辅助使用胃镜外套管，21例相对光滑食管异物内镜下游离并推送异物至胃腔后退镜，胃内异物65例（其中15例患者内镜检查后未行处理随诊观察待异物自行排出，50例患者内镜下取出），2例转外科手术治疗。所有异物患者均得到治愈。结论 上消化道外源性异物使用内镜治疗取物效果满意，值得推广应用。 |
| 关键词: 外源性异物 胃镜检查 内镜下治疗 个体化分析 |
| DOI：10.3969/j.issn.1674-3806.2018.08.20 |
| 分类号:R 649.4 |
| 基金项目: |
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| Endoscopic therapy for foreign body in the upper digestive tract |
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YANG Bin-hai, ZHANG Zhi-hua
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Department of Gastroenterology, the People′s Hospital of Zhanhua District, Binzhou City, Shandong 256800,China
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| Abstract: |
| ［Abstract］ Objective To analyze the clinical manifestations and endoscopic treatment of extraneous foreign bodies in the upper digestive tract. Methods 165 cases of exogenous foreign body in the upper digestive tract from October 2004 to May 2016 were treated with OlympusV-70 and OlympusCV-150 electronic gastroscope and Olympus CV-260 electronic gastroscope. Results 165 cases of endoscopic treatment were performed, of which 3 cases of school-age children were treated with propofol(1～2 mg/kg) for painless gastroscopy under intravenous anesthesia, 74 cases assisted with gastroscope mantle, 21 cases of relatively smooth esophageal foreign bodies from the lower reaches of the endoscopy, and 65 cases of gastric foreign body. After the endoscopy, 15 patients no treatment was performed, and the foreign bodies of the 15 patients were discharged spontaneously. 50 patients were removed under endoscopy. 2 cases were treated with surgery. All patients with the foreign bodies were cured. Conclusion The treatment of extrinsic foreign bodies in upper digestive tract with endoscopic treatment is satisfactory and worthy of popularization and application. |
| Key words: Exogenous foreign body Gastroscopy Endoscopic treatment Individualized analysis |
