摘要
目的探讨胃内金属异物的介入治疗方法及价值.方法 8例胃内金属异物患者均为男性,年龄28～46岁,平均32.2岁,均系在押或强行戒毒期间,均有经口金属异物进入史.经口腔将泥鳅导丝插入胃内,将套管用液体石蜡润滑,沿导丝插入胃内,退出泥鳅导丝,将2.6 m长导丝捏鼻后顺套管插入胃内,把长导丝在胃内做成大的圈套,控制并旋转圈套,使之套住异物一端,缓慢拉紧导丝,推送套管,将异物套牢,锁紧导丝,将异物缓慢拉出.结果 8例患者共12件胃内金属异物全部安全取出,未出现任何并发症.结论介入法取胃内异物操作简便易行、创伤小、费用低、效果好、并发症少,门诊治疗,一般不需住院,患者乐于接受,是治疗胃内异物的理想方法.
Objective To investigate the interventional therapy and its value in the metal foreign matter in the stomach. Methods Eight patients with metal foreign matter in the stomach was studied. All patients were male, and their age ranged from 28 to 46 years with the mean age of 32. 2 years. All patients had the medical history of swallowing metal foreign matter in compulsory detoxification or imprisonment. The catheter was inserted into the stomach lead by guide wire lubricated by paraffine. Then the guide wire was withdrawn and a 2.6 m long guide wire was folded in the middle and was inserted into the sromach through the catheter. A loop was made on the guide wire, and the loop was controlled to to hitch the forigen mater, then the guide wire was drawn out slowly. Results A total of 12 metal foreign matters in the stomach in all 8 patients were taken out safely, and no complications occurred. Conclusion The interventional therapy for the metal foreign matter in the stomach is simply, minimal invasive, cheap, effective, and with little complication. This therapy is a clinic treatment, the patient is glad to accept, and is the ideal therapy for foreign matter in the stomach.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2005年第9期932-934,共3页
Chinese Journal of Radiology
