程宪永 高红富 曹景润 王新

[摘要] 目的 探讨胃镜下治疗上消化道异物的效果及临床体会。方法 回顾性分析该院在2018年9月—2019年9月收治的125例上消化道异物患者，所有患者均在胃镜下治疗，观察治疗成功率及并发症情况。结果 通过对125例上消化道异物患者进行胃镜下治疗，其中成功取出异物的共123例，成功率为98.40%;取出失败的共2例，失败率为1.60%。并发症情况：黏膜损伤患者共49例，发生率为39.20%;大面积黏膜剥脱患者共1例，发生率为0.80%;穿孔患者共10例，发生率为8.00%;溃疡患者3例，发生率为2.40%，纵隔感染3例，发生率2.40%。结论 胃镜是上消化道异物安全、有效的诊治手段，治疗成功率高，发现上消化道异物后早期就诊，及时内镜下治疗可提高治疗成功率，减少并发症发生。

[关键词] 上消化道异物;临床体会;治疗效果;胃镜

[Abstract] Objective To explore the effect of gastroscopy on the treatment of foreign bodies in the upper digestive tract and its clinical experience. Methods A retrospective analysis was performed on 125 patients with foreign body in the upper digestive tract treated in the hospital from September 2018 to September 2019. All patients were treated under gastroscopy to observe the success rate and complications. Results 125 patients with foreign bodies in the upper digestive tract were treated with gastroscopy. Among them， 123 cases were successfully removed with a success rate of 98.40%; 2 cases were failed with a removal rate of 1.60%. Complications： 49 patients with mucosal injury， with an incidence of 39.20%; 1 patient with large-scale mucosal exfoliation， with an incidence of 0.80%; 10 patients with perforation， an incidence of 8.00%; 3 patients with ulcers， the incidence rate was 2.40%， and 3 cases of mediastinal infection， the incidence was 2.40%. Conclusion Gastroscopy is a safe and effective method for the diagnosis and treatment of foreign bodies in the upper gastrointestinal tract. The treatment success rate is high. Early diagnosis of foreign bodies in the upper gastrointestinal tract can be seen early. Timely endoscopic treatment can increase the success rate of treatment and reduce complications.

[Key words] Foreign body in upper digestive tract; Clinical experience; Therapeutic effect; Gastroscopy

上消化道异物是消化内科常见的急症，若异物滞留时间超过24 h，会引起食管主动脉瘘、瘘管等并发症，对患者生命产生威胁[1]。胃镜是上消化道异物的常用治疗方式，相比于外科手术和喉镜，胃镜可将异物的具体情况进行清晰的显示，且不会造成较大的刺激及损伤，利于减少术后并发症，实现优异的恢复效果[2]。故该研究回顾性分析该院在2018年9月—2019年9月收治的125例上消化道异物患者，旨在探讨胃镜下治疗上消化道异物的效果，现报道如下。

1  资料与方法

1.1  一般资料

回顾性分析该院收治的125例上消化道异物患者，所有患者均在胃镜下治疗，观察治疗成功率及并发症情况。在125例患者中，有男性患者77例，女性患者48例，最小年龄为1岁，最大年龄为92岁，平均年龄为（42.36±5.78）岁。……