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目的总结胃结石的临床特点及幽门螺杆菌在胃结石患者中的感染情况,观察内镜下结石内注射治疗rrrrrrrrn的效果。方法选择经内镜检查证实的食管、十二指肠结石患者各1 例,胃内结石患者33 例,调查所进的食物,分析结石和溃疡的部位、大小。对内镜下经套圈碎石、内镜下结石内注射5%碳酸氢钠治疗的平均住院日进行比较,对结rrrrrrrrn石、溃疡的幽门螺杆菌感染的治疗情况进行前后对比。结果上消化道结石的症状各异,秋季多发,与进食柿子、山楂等有关;内镜下结石内注射平均住院日少;伴发幽门螺杆菌感染者在半数以上。结论食管结石、十二指肠结石以梗阻为首发症状;胃内结石有消化道出血,以腹痛、溃疡为主,幽门螺杆菌感染与胃炎有关;内镜下结石内注射治疗效果相对较好。
Objective To summarize the clinical features of gastric stones and the infection of Helicobacter pylori in patients with gastric stones and to observe the effect of intralesional injection of stones under the endoscope. Methods One patient with esophageal and duodenal calculus confirmed by endoscopy, 33 patients with intrahepatic calculus and 33 patients with esophageal calculus were enrolled in the study. The food and the size of the calculus and ulcer were analyzed. The mean length of hospital stay treated with endoscopic lithotripsy and endoscopic injection of 5% sodium bicarbonate was compared, , Ulcer Helicobacter pylori infection before and after treatment comparison. Results upper digestive tract stones of different symptoms, multiple seasons, and eating persimmons, hawthorn and other related; Endoscopic calculi within the average hospital stay less; with Helicobacter pylori infection in more than half. Conclusion Esophageal calculi and duodenal calculi with obstruction as the first symptom; gastric stones with gastrointestinal bleeding, mainly abdominal pain and ulcer, Helicobacter pylori infection and gastritis; endoscopic treatment of stones within the relatively good results.