胃肠结石的影像学诊断及碎石治疗

Image Diagnosis and Interventional Therapy of Gastrointestinal Stones

目的探讨胃肠巨大结石症X线影像学特点及介入治疗方法的效果。方法选取12例经内镜及气钡双重造影确诊的胃肠结石患者,其中女7例,男5例;年龄为27～82岁。胃结石10例,结肠结石2例;单发结石11例,多发结石1例;结石直径在5～9 cm。利用自制圈套器对患者实施介入治疗。结果胃肠结石影像学检查直接征象是在胃内或肠腔内卵石状块影、纤维团状影。本组患者中,10例胃结石,8例钡餐造影检查发现并确诊,4例胃镜发现后再行钡餐造影检查明确诊断,2例巨大结肠结石,肠镜未能捡出,经气钡灌肠造影检查确诊。一次将结石粉碎9例,两次将结石粉碎3例,均取得成功。结论 X线观察下介入治疗胃肠结石,效果好、痛苦小、无创伤、费用低,患者容易接受,是胃肠结石治疗手段中首选方法之一。

Objective To evaluate the curative effectiveness and feasibility of interventional therapy for massive gastrointestinal stones.Methods Among patients with gastrointestinal stones proved by endoscopy and double-contrast of air barium examination,12 patients received interventional therapy with home-made endoloops,including 7 female patients and 5 male patients.The oldest patient is 82 years-old,the youngest one is 27 years-old.Among them,10 patients had gastric stones while 2 patients had intestinal stones,11 patients had single stone and 1 patient had multiple stones.The diameters of stones ranged from 5~9 cm.Results 9cases break stones for one time while 3cases for two times,all successfully.Conclusion Interventional therapy with the observation of X-ray for gastrointestinal stones,which have better effectiveness,less pains,no injuries,less costs,is is easily accepted by patients,so it acts as one of the principal examinations for gastrointestinal stones.