胃镜下治疗上消化道异物258例体会

A Study of curing upper gastrointestinal tract foreign bodies by gastro scope from 258 examples

目的:将胃镜用于上消化道异物的治疗。方法:术前仔细询问病史,结合X线透视或摄片判断异物的位置、嵌顿状态。术前5～10 min患者口服利多卡因胶浆,使咽喉部松弛后插入胃镜,在胃镜直视下充分显露异物,并根据异物形状选择合适的器械,钳住异物随胃镜一起退出。结果:258例患者中,胃异物25例取出22例,成功率88%(22/25),食管异物233例取出230例,成功率98%(230/233)。结论:胃镜下取异物安全、可靠、成功率高,是治疗上消化道异物的首选方法。

Objective：To use a gastro scope to cure and clear the upper gastrointestinal tract of foreign bodies. Methods： Patients were asked for their medical history carefully before their operations. The position and incarceration state of the foreign bodies were di- agnosed by X-ray. Patients were given Lidocaine Hydrochloride Mucilage 5 to 10 minutes before their operations. The I gastro scope was inserted when the laryngeal part of pharynx became relaxed. Exposing the foreign bodies in the gastro scope and determining the suitable medical appliances according to the shape of the foreign bodies. The scope was then used to grip the foreign bodies and take them out with the gastro scope. Results： Of the 258 total cases, 22 stomach corpus foreign bodies operations have been done success- fully in 25 examples. The success ratio was 88 % （22/25） ; 230 esophageal foreign bodies operations have been done successfully in 233 examples. The success ratio was 98 % （230/233） . Conclusion： It is more reliable to cure upper gastrointestinal tract foreign bodies by gastroscope and could be the best choice.