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目的探讨透明帽在胃镜诊治食管枣核嵌顿中的应用价值。方法选取沈阳军区总医院内镜科自2015年2月至2016年2月收治的31例食管枣核嵌顿患者,在透明帽的辅助下应用胃镜进行治疗,观察其临床疗效、嵌顿部位及并发症等。结果本组31例患者中,枣核嵌顿于食管入口12例(38.7%),食管上段10例(32.3%),食管中段7例(22.6%),食管下段2例(6.5%)。其中,食管嵌顿处损伤严重9例,经止血夹缝合后置入胃管治疗。嵌顿枣核取出的成功率为100%,未发生纵膈气肿、出血、穿孔等严重并发症。结论枣核易嵌顿于食管,特别是食管入口及上段,可在透明帽的辅助下应用胃镜安全取出,疗效确切、并发症少,是安全、有效的治疗方法。
Objective To explore the application value of transparent caps in the diagnosis and treatment of esophageal date nuclear incontinence with endoscopy. Methods Thirty-one patients with esophageal jujube nucleus admitted from February 2015 to February 2016 in Department of Endoscopy, General Hospital of Shenyang Military Region were enrolled. Gastroscope was used to treat the patients with transparent cap. The clinical efficacy, incarcerated site and Complications and so on. Results Among the 31 patients in our group, 12 cases (38.7%) had esophageal entrance, 10 cases (32.3%) had upper esophagus, 7 cases (22.6%) had middle esophagus, and 2 cases (6.5%) had lower esophagus. Among them, 9 cases of esophageal incarceration were severely damaged and placed in gastric tube after sutured by hemostatic clip. Incarcerated date palm nuclear success rate was 100%, no mediastinal emphysema, bleeding, perforation and other serious complications. Conclusions The jujube nucleus is easy to incarcerated in the esophagus, especially esophageal entrance and the upper segment. It can be removed safely by gastroscope under the help of a transparent cap. The curative effect is exact and there are few complications. It is a safe and effective treatment.