经内镜机械碎石与药物注射治疗巨大山楂胃石8例分析

Clinical Analyses of Eight Cases with Giant Hawthorn Bezoar Through Endoscopy and Mechanical Crushed Stone and Medicine Injection

目的探讨巨大山楂胃石的有效治疗方法。方法对内镜发现的巨大山楂胃石进行成因分析,并经内镜用活检钳破坏山楂胃石表面,然后用内镜注射针向胃石内注射5%碳酸氢钠,术后口服奥美拉唑及碳酸氢钠。结果症状在24～48h全部缓解,1周后复查胃镜,胃石全部消失,所伴发的糜烂及溃疡愈合。结论经内镜机械碎石与碳酸氢钠胃石内注射疗法疗效好,建议临床进一步推广。

Objective To discuss the effective method to cure the giant hawthorn gastrolith.Methods The cause of formation of giant hawthorn bezoar was analyzed for eight cases discovered through endoscopy,the surface of the hawthorn bezoar was destroyed with pincers,and then 5% sodium bicarbonate was injected into the gastrolith with the help of endoscopy.Omeprazole and sodium bicarbonate were administered after operation.Results The symptoms were alleviated in 24～48 hours after operations and the gastrolith is disappeared in according to the reexamination in a week,and the concomitant of erosion and canker were cured.Conclusion It is effective for treatment of giant hawthorn bezoar by mechanical macadam with the help of endoscopy and injection with sodium bicarbonate.