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目的探讨电子胃镜治疗儿童上消化道异物的有效性及安全性。方法对40例儿童(年龄9个月~9岁)上消化道异物行电子胃镜检查与治疗,咽喉部局麻下用Olympus-GIF160电子胃镜进行操作,运用异物钳、篮网器等取异物。结果 40例儿童上消化道异物,局部麻醉状态下全部取出。食管异物30例,胃内异物10例,食管金属夹子2例,食管纽扣电池1例,食管桔瓣1例,食管金属圆环1例,胃内黄金戒指1例,金属发夹1例,食管及胃内硬币异物33例(1角、5角、1元)。1例胃内黄金戒指及1例胃内金属发夹取出时有轻微胃黏膜划伤、少许出血,余无其他并发症。结论电子胃镜治疗儿童上消化道异物安全、有效,可作为首选治疗方法。
Objective To investigate the efficacy and safety of electronic endoscopy in the treatment of children with upper gastrointestinal tract. Methods 40 cases of children (9 months old to 9 years old) upper gastrointestinal tract by electronic gastroscopy and treatment of throat under local anesthesia with Olympus-GIF160 electronic gastroscope operation, the use of foreign body forceps, nets and other foreign bodies. Results 40 cases of children with upper gastrointestinal tract foreign body, all under local anesthesia removed. 30 cases of esophageal foreign body, 10 cases of intra-gastric foreign body, 2 cases of esophageal metal clip, 1 case of esophageal button cell, 1 case of esophageal orange flap, 1 case of esophageal metal ring, 1 case of gastric gold ring, 1 case of metal hair clip, And 33 cases of foreign body coins in the stomach (1 angle, 5 angle, 1 yuan). 1 case of gastric gold ring and 1 case of gastric metal hairpin removed when there was a slight gastric mucosal injury, a little bleeding, I no other complications. Conclusion Electronic gastroscopy for the treatment of children with upper gastrointestinal tract safety, effective, can be used as the preferred method of treatment.