【摘要】 目的探讨植物性胃石安全有效的治疗方法。方法 2010~2014年共有32例植物性胃石患者接受内镜下碎石,术前及术后口服碳酸氢钠、可口可乐和质子泵抑制剂静脉滴注。结果所有患者经治疗后均成功清除胃石。22例(68%)胃石患者合并胃溃疡,胃石小于5×5 cm行内镜下碎石及取石成功,胃石大于5×5 cm采用口服碳酸氢钠及可口可乐治疗,4天后复查胃镜,一部分胃石完全溶解,另巨大胃石明显变小软化,复查胃镜时予圈套取出。结论胃石症患者易合并胃溃疡,胃镜碎石和口服碳酸氢钠及可口可乐均有效清除植物性胃石,两者结合疗效更好。更多还原

【Abstract】 Objective Toinvestigale the effect treatment in gastric phytobezoars. Methods From Jan 2010 to Jan2014,a total of 32 patients with gastric phytobezoars panereatitis to treat by endoscope and administration of carbonated beverage and coca- cola were given after the endoscopic procedure or before. Results Gastric phytobezoars were successfully removed. Gastric ulcer was found in 22 phytobezoar patients( 68. 0%). the patients whose phytobezoars less then 5* 5cm were treated successfully by endoscopic lithotripsy and endoscopic stone extraction technique. the patients whose phytobezoars more then 5* 5cm should be treated by endoscope combination and coco. after four days. phytobezoars were disappeared. other patients phytobezoars which easily extracted by snare were smaller than before. Conclusions Patients with gastric phytobezoar are prone to develop gastric ulcer. It is safe feasible and effective to treat gastric phytobezoar by the combination of administration of carbonated beverage and oral coca- coca.更多还原