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通过内镜用圈套器摘取胃内长条状异物2例,均获成功,报告如下。 例1 男,28岁。14d前食竹筷1根,引起上腹痛,黑便,来院就诊。内镜下见胃窦部小弯侧横置一竹筷约15cm,窦粘膜糜烂,散在10余个大小不等表浅溃疡及出血。遂用圈套器套住竹筷后和胃镜一同拉出。诊断:(1)胃内异物;(2)糜烂性胃炎。术中无不良反应。糜烂性胃炎自愈。 例2 男,20岁。5d前自食打火机一个,引起上腹疼痛就诊。内镜下见一约10.5cm×2.5cm×2.3cm大小绿色塑料打火机,嵌于胃体粘膜皱襞中,并见胃底、体部糜烂、渗血。用圈套器套住打火机头部,松动游离后推向胃窦部,使打火机头部翻向贲门与胃镜同时取出。术中无不良反应及并发症。
By endoscopic snare removal of stomach strip foreign body 2 cases, were successful, the report is as follows. Example 1 male, 28 years old. 14d before eating chopsticks 1, causing upper abdominal pain, melena, to the hospital. Endoscopic see a small bend side of the antrum transverse chopsticks about 15cm, sinus mucosal erosion, scattered in more than 10 different sizes ranging from superficial ulcers and bleeding. Then use a snare trap and chopsticks together with gastroscope pull out. Diagnosis: (1) stomach foreign body; (2) erosive gastritis. No adverse reactions during surgery. Erosive gastritis self-healing. Example 2 male, 20 years old. 5d before a food lighter, causing upper abdominal pain treatment. Endoscopic see a size of about 10.5cm × 2.5cm × 2.3cm green plastic lighters, embedded in the mucosal folds of the corpus, and see the end of the stomach, body erosion, bleeding. Use the snare to cover the lighter head, loosen and then push to the antrum, so that the lighter head turned to the cardia and gastroscopy at the same time removed. No adverse reactions and complications during surgery.