论文部分内容阅读
我院近8年内镜诊断慢性胃扭转19例,均应用旋镜法成功复位,报告如下.1 临床资料1.1 一般资料 我院1987～1994年10月胃镜检查10625例,发现慢性胃扭转19例,占0.18%.其中男13例,女6例,年龄22～56岁, 平均35.8岁,病程2月～3年.扭转为器官轴型16例,系膜轴型3例;均有慢性餐后上腹痛、饱胀、嗳气等症状,随食物排空而缓解.5例发作时呈绞痛、呕吐胃内容物, 3例排黑便;12例行X线钡餐检查.见胃囊部位有2个液平,胃大、小弯倒置,胃体变形如虾状,幽门向下;4例腹平片见左上腹有双大液平.
Our hospital nearly 8 years of endoscopic diagnosis of chronic gastric torsion in 19 cases were successful application of spin-assisted reduction, the report is as follows.1 Clinical data 1.1 General Information Our hospital from October 1987 to October 1994 gastroscopy examination of 10625 cases and found that 19 cases of chronic gastric volvulus , Accounting for 0.18% .There were 13 males and 6 females, aged 22 to 56 years old, with an average of 35.8 years old, duration of 2 months to 3 years.There were 16 cases of organ axis and 3 cases of mesangial axis type, all with chronic meal After the upper abdominal pain, fullness, belching and other symptoms, with the food emptying and ease .5 cases of seizures during angina pectoris, vomiting stomach contents, 3 cases of black melena; 12 cases of X-ray barium meal examination. 2 levels, large stomach, a small bend upside down, gastric body deformation such as shrimp, pyloric down; 4 cases of abdominal plain film to see the left upper quadrant with double major level.