电子胃镜治疗儿童上消化道异物40例临床分析

马永利; 马晓燕; 韦红

doi:10.3969/j.issn.1671-038X.2015.04.11

电子胃镜治疗儿童上消化道异物40例临床分析

- 1. 安徽医科大学附属六安市人民医院儿科中心, 安徽六安 237005;
- 2. 浙江省儿童医院消化科, 浙江杭州 310006

详细信息

作者简介:
马永利,本科,副主任医师,研究方向:儿童消化系统疾病及内镜应用

通讯作者: 马永利,E-mail:myl166@sina.com.cn

中图分类号: R768.4

收稿日期: 2014-11-23

Clinical analysis of forty cases inelectronic gastroscope removal of upper gastrointestinal tract foreign bodies in children

- 1. Department of Pediatric Center, Lu'an People's Hospital, Anhui Medical University, Lu'an 237005, China;
- 2. Department of Gastroenterology, The Children's Hospital of Zhejiang, Hangzhou 310006, China

More Information

Corresponding author: MA Yong-li, E-mail: myl166@sina.com.cn

Received Date: 23 November 2014

摘要

摘要: [目的]探讨电子胃镜治疗儿童上消化道异物的有效性及安全性。[方法]对40例儿童（年龄9个月~9岁）上消化道异物行电子胃镜检查与治疗，咽喉部局麻下用Olympus-GIF160电子胃镜进行操作，运用异物钳、篮网器等取异物。[结果]40例儿童上消化道异物，局部麻醉状态下全部取出；食管异物30例，胃内异物10例，食道金属夹子2例，食道纽扣电池1例，食道桔瓣1例，食道金属圆环1例，胃内黄金戒指1例，金属发夹1例，食道及胃内硬币异物33例。1例胃内黄金戒指及1例胃内金属发夹取出时有轻微胃黏膜划伤、少许出血，余无其他并发症。[结论]电子胃镜治疗儿童上消化道异物安全、有效，可作为首选治疗方法。
- 异物 /
- 上消化道 /
- 儿童 /
- 电子胃镜
Abstract: [Objective] To investigate the safety and effect in electronic gastroscope removal of upper gastrointestinal tract foreign bodies in children.[Methods] The data of 40 children(age from 9 months to nine years) with upper gastrointestinal tract foreign bodies between January 2014 and June 2014 were summarized retrospectively.All the cases were examined and treated with electronic gastroscope(Olympus-GIF160).The foreign bodies were taken out under laryngopharynx local anesthesia with all kinds of medical instruments.[Results] The foreign bodies were successfully removed under non-general anesthesia in 40 cases.Thirty pieces of foreign bodies were in the esophagus, 10 in the stomach, two cases of esophageal metal clip, one case of esophageal button battery, one case of esophageal orange petal, one case of esophageal metal ring, one case of gold ring and one case of clip in the stomach, the other thirty-three coins in the esophagus or in the stomach.Two foreign bodies(one gold ring and one metal card) in the stomach were taken out, a minor scratch of gastric mucosa and less blood bleeding, the others leaving no complications.The successful rate was 100%.[Conclusion] Electronic gastroscope therapy, which is safe and effective, should be the first choice for children with upper gastrointestinal tract foreign bodies.
- foreign body /
- upper gastrointestinal tract /
- children /
- electronic gastroscope

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参考文献(6)

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