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[1]李小華 何 潔 羅忠金 陳清虹.CT、超聲胃鏡及內(nèi)鏡下腫瘤挖除術(shù)對(duì)上消化道異物包埋的診療價(jià)值[J].福建醫(yī)藥雜志,2020,42(03):27-31.
　LI Xiaohua,HE Jie,LUO Zhongjin,et al.Clinical analysis of CT, endoscopic ultrasonography and endoscopic submucosal excavation treatment of embedding foreign bodies in upper gastrointestinal tract[J].FUJIAN MEDICAL JOURNAL,2020,42(03):27-31.
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CT、超聲胃鏡及內(nèi)鏡下腫瘤挖除術(shù)對(duì)上消化道異物包埋的診療價(jià)值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
42
期數(shù):
2020年03期
頁碼:
27-31
欄目:
臨床研究
出版日期:
2020-07-04

文章信息/Info

Title:
Clinical analysis of CT, endoscopic ultrasonography and endoscopic submucosal excavation treatment of embedding foreign bodies in upper gastrointestinal tract
文章編號(hào):
1002-2600(2020)03-0027-05
作者:
李小華 何 潔 羅忠金 陳清虹
廈門醫(yī)學(xué)院附屬第二醫(yī)院消化內(nèi)科(廈門 361021)
Author(s):
LI Xiaohua; HE Jie; LUO Zhongjin; CHEN Qinghong.
Department of Gastroenterology, the Second Affiliated Hospital of Xiamen Medical College,Xiamen,Fujian 361021,China
關(guān)鍵詞:
上消化道;  異物包埋;  CT;  超聲胃鏡;  內(nèi)鏡下腫瘤挖除術(shù)
Keywords:
upper gastrointestinal tract;  embedding foreign bodies;  CT;  endoscopic ultrasonography;  endoscopic submucosal excavation
分類號(hào):
R735
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 分析上消化道異物包埋患者的胃鏡、超聲胃鏡(EUS)、CT等影像學(xué)特點(diǎn),及采用內(nèi)鏡下腫瘤挖除術(shù)(ESE)的方式處理異物包埋的臨床療效,以提高臨床對(duì)上消化道異物包埋疾病的診治水平。方法 對(duì)12例已經(jīng)手術(shù)、內(nèi)鏡或臨床確診的上消化道異物包埋患者的臨床表現(xiàn)及影像資料、手術(shù)情況進(jìn)行回顧性分析。結(jié)果 12例患者無明確的異物吞服史; 臨床表現(xiàn)為慢性腹痛,反復(fù)發(fā)作; 異物位于食管1例、胃11例。異物的影像學(xué)表現(xiàn):CT表現(xiàn)為上消化道管壁的致密影,伴脂肪間隙正常或模糊; 胃鏡表現(xiàn)為病灶隆起,類似黏膜下腫瘤; EUS表現(xiàn)為不規(guī)則低回聲或不規(guī)則低回聲伴高回聲改變。臨床處理:2例病灶表面深挖活檢后利用異物鉗或圈套器將異物取出體外,10例采用ESE的方式取出包埋的異物。患者癥狀均消失。結(jié)論 CT、胃鏡、超聲胃鏡三者聯(lián)合對(duì)上消化道異物包埋的診斷有效,ESE手術(shù)對(duì)于上消化道管壁異物包埋的治療安全、有效。
Abstract:
Objective To evaluate the value of CT and endoscopic ultrasonography(EUS)in the diagnosis of embedding foreign bodies in upper gastrointestinal tract; to analyze the security and effect of endoscopic submucosal excavation(ESE)dealing with embedding foreign bodies in upper gastrointestinal tract. Methods During the period of June 2010 to September 2019,a total of 12 cases about embedding foreign bodies in upper gastrointestinal tract in our hospital were involved in this study.The clinical and imaging data of those cases confirmed by clinic were retrospectively analyzed. Results There were all not identifying history about swallowing foreign bodies. Most of them had repeated chronic abdominal pain.In all the 12 cases,1 case was in the esohgagus,11 cases were in the stomach. Hyperdensity were found in the Gastrointestinal wall,and the wall were thickened in CT.Those cases had the mucoscal protrusion like the submucosal tumor(SMT)in gastroendscop and EUS.In EUS, irregular hypoechoic or irregular hypoechoic accompanied by hyperechoic changes were observed.The foreign bodies of two patients were successfully removed by deep excavation biopsy and with the help of foreign body forceps and snares.The other patients were healed successfully by ESE.Conclusion Besides helping in the diagnosis of embedding foreign bodies in upper gastrointestinal tract, CT and gastroendscop and EUS can also provide guidance for clinical treatment.Taking out embedding foreign bodies in upper gastrointestinal tract by ESE can reduce the complications and improve the success rate.ESE is a security and effective method about dealing with the embedding foreign bodies.

參考文獻(xiàn)/References:

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備注/Memo

備注/Memo:
基金項(xiàng)目:國家自然科學(xué)基金資助項(xiàng)目(81804156); 福建省自然科學(xué)基金資助項(xiàng)目(2018J01882); 福建中醫(yī)藥大學(xué)2017年校管課題平臺(tái)專項(xiàng)(X2017007-平臺(tái)); 2018年福建省大學(xué)生創(chuàng)新創(chuàng)業(yè)訓(xùn)練計(jì)劃項(xiàng)目(201810393013)1 通信作者,Email:[email protected]
更新日期/Last Update: 2020-07-04