胃植物性胃石症：中国北方 63 例患者的治疗经验。
Gastric phytobezoars: the therapeutic experience of 63 patients in Northern China.
机构信息
Gastroenterology, Beijing Shijitan Hospital. Capital Medical University, China.
Gastroenterology, Beijing Shijitan Hospital. Capital Medical University.
出版信息
Rev Esp Enferm Dig. 2020 Jan;112(1):12-15. doi: 10.17235/reed.2019.6400/2019.
INTRODUCTION
Sixty-three patients with gastric phytobezoars were reviewed.
METHODS
forty-eight (76.2%) patients received endoscopic combined with chemical therapies and 15 (23.8%) received only chemical therapy initially. Fifty-one (81.0%) patients achieved complete removal (only chemical therapy 14/15), while 12 (19.0%) received further endoscopic therapies.
RESULTS
finally, 62 (98.4%) patients achieved a complete removal. Considering only patients with combined treatment as a first approach, treatment success was associated with a softer phytobezoar consistency (p = 0.023).
CONCLUSION
in conclusion, most patients achieve a favorable outcome. Chemical therapy is useful in selected cases. Repeated endoscopic therapies may be needed in order to completely remove phytobezoars with a hard consistency.
简介
回顾了 63 例胃植物性胃石症患者。
方法
48 例（76.2%）患者接受内镜联合化学治疗，15 例（23.8%）患者最初仅接受化学治疗。51 例（81.0%）患者完全清除（仅化学治疗 14/15），12 例（19.0%）患者进一步接受内镜治疗。
结果
最终，62 例（98.4%）患者完全清除。仅考虑联合治疗作为初始治疗方法，治疗成功与植物性胃石质地较软有关（p = 0.023）。
结论
总之，大多数患者的预后良好。在某些情况下化学治疗是有用的。为了完全清除质地坚硬的植物性胃石，可能需要重复进行内镜治疗。
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