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目的探讨植物性胃石的临床有效治疗方法。方法 35例植物性胃石患者,分别采用药物治疗、内镜圈套勒除、胃石内注入碳酸氢钠等方法治疗,对治疗经过和结果进行总结。结果 16例患者单纯给予抑酸药及口服碳酸氢钠3~7 d后胃石消失。其余患者采用内镜下圈套勒除法或往胃石内注入碳酸氢钠溶液,并联合药物综合治疗胃石痊愈。结论对于病史短的小胃石,给予药物保守治疗可达到溶石效果。对于病史长的坚硬胃石或巨大胃石,宜采用内镜下治疗联合药物综合治疗促进胃石崩解,安全有效。
Objective To investigate the clinical effective treatment of plant gastropods. Methods A total of 35 patients with phytolithic gastritis were treated with drug therapy, tracheostomy with endoscope, sodium bicarbonate with gastroscope, and the results were summarized. Results 16 cases of patients simply given antacids and oral sodium bicarbonate 3 to 7 days after the disappearance of gastrolith. The remaining patients with endoscopic traps Le division or gas into the stone into the sodium bicarbonate solution, and the combined treatment of gastric stone healing drugs. Conclusion For the short history of small gastritis, given the drug conservative treatment can achieve the effect of limestone. For a long history of hard gastrocnemius or giant gastritis, endoscopic treatment should be combined with the comprehensive treatment of gastritis drugs to promote disintegration, safe and effective.