论文部分内容阅读
目的探讨内镜下碎石器碎石联合表面喷洒碳酸氢钠治疗胃石的疗效。方法采用富士能400电子胃镜威尔逊WF-2417DTH胃石切割碎石器机械碎石,碎石过程中表面喷洒5%碳酸氢钠。结果 43例胃石患者临床症状消失,治疗2周后复查胃镜发现胃石消失,合并溃疡或局限粘膜糜烂者均愈合,胃粘膜炎症改变基本消失。全部患者无出血、穿孔、肠梗阻、贲门黏膜撕裂等并发症出现。结论内镜下碎石器碎石联合表面喷洒碳酸氢钠治疗胃石是一种疗效确切、安全性好、不良反应少、患者痛苦少、经济实用的好方法,有较高的临床价值。
Objective To investigate the efficacy of endoscopic lithotripsy combined with sodium bicarbonate spray on the treatment of gastric stone. Methods Fujinon 400 electron gastroscope Wilson WF-2417DTH gastrogolith lithotripsy mechanical gravel, the surface of the gravel spraying 5% sodium bicarbonate. Results The clinical symptoms disappeared in 43 cases of gastropathy. Gastroscopy disappeared after gastroscopy 2 weeks after treatment. All patients with ulcer or localized mucosal erosion healed, and the change of gastric mucosal inflammation disappeared. All patients without bleeding, perforation, intestinal obstruction, gastric cardia tear and other complications appear. Conclusion Endoscopic lithotripsy combined with spraying sodium bicarbonate on the surface of gastric stone is a good curative effect, good safety, less adverse reactions, less pain, economical and practical, and has high clinical value.