摘要
目的探讨胃镜下采用透明帽在食管细小异物诊断中的价值。方法对经X线片、胃镜直接检查未能确诊的可疑食管细小异物病例,采用胃镜前端安装一个透明帽后进行检查。结果可疑食管细小异物29例,经透明帽法明确诊断28例。其中诊断无异物存留23例,1例可疑食管中段细小异物,周围粘膜明显充血肿胀,透明帽法仍不能作出明确诊断。检出异物5例,其中有3例位于食管入口,1例位于食管上段,1例位于食管下段近贲门处,均为细小鱼刺异物。诊断准确率97%(28/29),全部无严重并发症发生。结论胃镜下采用透明帽能充分暴露食管管腔,对食管细小异物的诊断准确、安全、简便,具有重要的实用价值,值得临床推广。
【Objective】To investigate the value of gastroscopic lucency cap on the diagnosis of tiny foreign body in esophagus.【Methods】Suspected tiny foreign bodies which can not be diagnosed by X-ray and gastroscope,were detected by gastroscope installed by lucency cap on top.【Results】Among 29 cases of suspected tiny foreign bodies.28 cases were diagnosed exactly by lucency cap.23 cases were diagnosed as no foreign body in esophagus,One case of suspected tiny foreign body in the middle of esophagus could not be diagn...
出处
《中国医学工程》
2008年第3期175-176,179,共3页
China Medical Engineering
关键词
胃镜
透明帽
食管
异物
诊断
gastroscope
lucency cap
esophagus
foreign body
diagnosis
