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[目的]探讨胃石症经内镜下机械碎石法的疗效。[方法]65例胃石症患者经无痛内镜或常规内镜下碎石,不同胃石选用不同的碎石器械,质软胃石采用活检钳击打捣碎,四爪钳抓碎,圈套器切割碎石;质硬胃石通过活检钳、四爪钳及胃石切割碎石器相结合碎石。[结果]65例胃石症均碎石成功,其中1次全部粉碎53例,2次粉碎8例,3次粉碎4例,无出血、穿孔、肠梗阻等并发症,复查胃镜胃石排出,疗效满意。[结论]胃石症经内镜下机械碎石治疗安全、有效、经济、易开展。
[Objective] To investigate the efficacy of endoscopic mechanical gravel method in treating gasishi disease. [Methods] 65 cases of patients with gasishimania by painless endoscopy or conventional endoscopic lithotripsy, different stone stone selection of different lithotripsy devices, quality soft gastroscopy using biopsy forceps hit the smashing, four claw clamp grasping, Trap device to cut the gravel; hard stone by biopsy forceps, four paws and stone lithotripsy lithotripsy combined gravel. [Results] All the 65 cases of gastrolithiasis were successful. Among them, 53 cases were completely crushed in one time, 8 cases were crushed in 2 times and 4 cases were crushed in 3 times. No complications such as hemorrhage, perforation and intestinal obstruction were observed, Satisfactory results. [Conclusion] Stomach lithiasis by endoscopic mechanical gravel treatment is safe, effective, economical and easy to carry out.