胃结石综合治疗方法探讨

Study of combined therapy for gastric stones

目的分析胃石症的临床特征,评价药物与胃镜联合治疗胃石的方法、效果及安全性。方法对31例患者采用胃镜下圈套器、异物网篮或异物钳取石,并联合药物溶石治疗,观察疗效。结果胃结石患者胃溃疡发生率为67.74%;1次胃镜碎石或取石成功率70.97%;9例1次未取出者经药物排石5例(55.56%),胃镜与药物联合总有效率96.77%。结论胃结石患者易并发胃溃疡,在取石同时应治疗胃溃疡;胃镜与药物联合治疗可以提高胃结石的治愈率。

[Objective] To analyze clinical feature of gastric stones and to evaluate the methods, effectiveness and security of combination of drugs and gastroscopy. [Methods] Snare, grasping basket and grasping forceps were used to treat 31 eases of gastric stones. Drug therapy was combined to observe the curative effect. [Results] The incidence rate of gastric ulcer in patients with gastric stones was 67.74%. In primary gastroscopic therapy, 70.97% of stones were broken into pieces or removed out. Among the 9 cases with stones that were not removed at first therapy, 5 cases （55.56%） had stones dislodged through drugs therapy. Total effective rate was 96.77% through combined therapy of gastroscopy and drugs. [Conclusion] Patients with gastric stones are easily complicated with gastric ulcer. Ulcers should be treated when stones are removed. Therapeutic alliance of gastroseopy with drugs can elevate the curative rate of stones.