消化道柿石症70例临床诊治分析

Clinical Diagnosis and Treatment of 70 Cases of Digestive Tract Persimmon Disease

摘要: 目的：探讨消化道柿石症的临床特点、诊治及治疗方法。方法：回顾性分析我科自2017年1月~2020年1月收治消化道柿石症患者70例。结果：70例患者均行CT检查，66例(94.3%)可见阳性结果。34例(48.57%)患者经药物治疗或内镜治疗成功粉碎柿石并排出。36例(51.43%)患者因无法排出柿石者行手术治疗。结论：既往腹部手术史是影响柿石形成和排出的重要因素，老年人更易出现柿石症。腹部CT安全、无痛、全面，是诊断消化道柿石症的优选方法，药物、内镜治疗柿石安全可靠，但要严格把握手术指征。

Abstract: Objective: To investigate the clinical features, diagnosis, treatment and treatment of digestive tract persimmon disease. Methods: Retrospective analysis was performed on 70 patients with digestive tract persimmon disease admitted to our department from January 2017 to January 2020. Results: CT examination was performed in all 70 patients, and positive results were found in 66 patients (94.3%). Thirty-four patients (48.57%) were successfully crushed persimmon stone and discharged after drug therapy or endoscopic therapy. 36 patients (51.43%) were treated by surgery, because they could not discharge persimmon stone. Conclusion: Previous abdominal surgery was an important factor affecting the formation and discharge of Persimmon stone, and the elderly were more likely to have persimmon stone syndrome. Abdominal CT is safe, painless and comprehensive, which is the preferred method for the diagnosis of digestive tract persimmon stone. Drug and endoscopic treatment of persimmon stone is safe and reliable, but the surgical indications should be strictly grasped.