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目的 积累内镜诊断及处理上消化道异物的经验。方法 回顾性分析我院 1978年 1月～ 2 0 0 3年 1月 ,总结分析 80 2例吞入异物的患者进行紧急内镜检查和在局麻或全麻下应用辅助器械配合内镜处理异物的情况。结果 80 2例患者中共有 1198件异物 ,其中异物位于食管内 4 2 4件、胃内 6 6 2件、十二指肠 112件。共有 780例 116 7件异物经内镜成功取出 ,未出现严重并发症 ;尚有 2 2例 31件异物 ,因异物尖锐端嵌顿严重等原因未取出。成功率为 97 3%。在取出的异物中 ,最大异物长 2 0cm、宽 4 2cm。结论 应用内镜取出消化道异物是安全、有效的。
Objective To accumulate endoscopic diagnosis and treatment of upper gastrointestinal foreign body experience. Methods A retrospective analysis of our hospital from January 1978 to January 2003, a total of 802 patients swallowing foreign bodies were analyzed by emergency endoscopy and under local anesthesia or general anesthesia assisted with endoscopic treatment of foreign bodies Case. Results There were altogether 1,198 foreign bodies in 802 patients, of which 4 24 were in esophagus, 6 62 in stomach and 112 in duodenum. A total of 780 cases of 116 7 foreign bodies were successfully removed by endoscopy, no serious complications; there are 22 cases of 31 foreign bodies, foreign body sharp incarcerated due to serious reasons such as not removed. The success rate was 97 3%. In the removal of foreign matter, the largest foreign body length 20cm, width 42cm. Conclusion Endoscopic removal of alimentary tract foreign body is safe and effective.