胃石治疗的临床进展
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王东,E-mail:dr.dongwang@qq.com

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Clinical progress of treatment in bezoar
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    摘要:

    胃石是指经口摄入的某种食物、药物或异物在胃内正常或异常环境影响下形成的不可吸收的聚合物,属于消化道内源性异物。胃石是一种罕见的疾病,其总体发病率约在0.4%左右,成人胃石的形成原因与复杂的胃内环境变化有关,儿童胃石则多与异食癖、智力障碍、精神疾病和乳糜泄有关。治疗的胃石早先均通过外科手术取石的方法来完成,期间有学者报道了经腹腔镜胃切开术取石的方法,均取得了确切的疗效,但创伤较大。近年来胃石的治疗主要通过内镜下注射可乐溶石、内镜下激光碎石以及内镜下器械切割碎石3类方法为主,既可以取得确切的疗效,同时又减少了创伤,但仍然存在着一定程度的不足。未来随着器械发展的不断进步,更加高效完善的镜下器械的出现必然会使胃石的治疗可以实现完全镜下化,最大程度的减少患者的创伤。

    Abstract:

    Bezoar refers to oral intake of some food, drug, or foreign bodies formed under the influence of normal or abnormal conditions in the stomach of an absorption polymer, belongs to the endogenous digestive tract foreign bodies. Stomach is a rare disease, its overall incidence of about 0.4%, the reasons for the formation of bezoar in adults is associated with complex environment changes of the stomach, but children bezoar usually occur with pica, mental retardation, mental illness and coeliac disease. Treatment of bezoar were surgically removed earlier method to finish, some scholars reported during laparoscopic gastrotomy lithotomy method, has achieved the exact curative effect, but large trauma. Bezoar in recent years mainly treated by endoscopic injection coke stone, endoscopic laser lithotripsy and endoscopic equipment cutting rock under three kinds of methods is given priority to, can obtain the exact curative effect, and reduced damage at the same time. But still there is a certain degree. Future along with the advance of equipment development, more efficient and perfect the appearance of the microscopic instruments will inevitably make the bezoar treatment can achieve completely the microscopic, the greatest degree of reduce the trauma patients.

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刘亚萍,王东 综述,李兆申 审校.胃石治疗的临床进展[J].中国内镜杂志,2016,22(11):79-82

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  • 收稿日期:2016-04-06
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  • 在线发布日期: 2016-11-30
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