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胃石症好发于秋冬季节,是我国北方一种较常见的疾病。胃石脱落至小肠造成的小肠梗阻占据了肠梗阻病例的4%。这部分患者往往需要行外科手术治疗,通过小肠镜进行碎石达到治疗目的的病例非常少见,且部分病例因治疗后再梗阻导致治疗失败。通过介绍1例成功应用单气囊小肠镜进行诊断和治疗的小肠山楂石梗阻的病例,展现小肠镜碎石的过程,提供一些治疗及辅助治疗的相关经验。应用气囊辅助式小肠镜治疗植物性异物石引起的小肠梗阻安全、有效、迅速且微创,可以一定程度上替代外科手术,具有重要的临床意义,是治疗植物性异物石引起的小肠梗阻的一种新选择。
Stomach stones occur in autumn and winter, is a more common disease in northern China. Intestinal obstruction caused by gastritis shedding into the small intestine accounts for 4% of the cases of intestinal obstruction. This part of patients often require surgical treatment, lithotomy by enteroscopy to achieve the purpose of treatment is very rare, and in some cases due to re-obstruction after treatment led to treatment failure. By introducing a case of small bowel haematopancreatic obstruction successfully diagnosed and treated with single-balloon enteroscopy, the process of small bowel debridement was demonstrated, and some experience on treatment and adjuvant therapy was provided. The application of balloon-assisted enteroscopy in the treatment of intestinal obstruction caused by plant foreign body stone is safe, effective, rapid and minimally invasive, and can replace surgical operation to a certain degree. It has important clinical significance and is one of the treatment of intestinal obstruction caused by plant foreign body stone New choice.