上海专家利用内镜手术为“长发公主综合征”患者取出巨大毛发结石|日产精品久久久久久久蜜臀
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中新网上海8月29日电 (陈静 赵莹莹)“长发公主综合征”患者小田(化名)从6岁起就有食发行为。如今已经18岁的小田因胃内长有巨大毛发结石几乎不能进食。
记者29日获悉,在上海,消化内科专家通过数次高难度的内镜手术,成功将困扰姑娘多年的巨大毛发结石取出。如今,小田已经康复出院,将以全新的状态步入大学校园。
一般而言,内镜手术治疗仅适用于较小结石。以往,此类巨大结石通常需要外科手术切除。
据悉,“长发公主综合征”属于异食癖的一种,患者常会无法自控地吞食头发,久而久之在胃中形成毛发结石。
数月前,小田因反复腹胀、呕血和黑便,血红蛋白一度低至40g/L,情况危急。当地医院胃镜检查发现她患有“胃石症”。在上海第九人民医院消化内科孟祥军主任医师经过进一步的CT和胃镜检查发现,小田胃腔内竟然塞满了一个约30cm×20cm的致密毛发团。这个毛发团不仅堵塞了整个胃室,还导致胃黏膜出现多处深大溃疡。
考虑到患者年轻、不愿留下手术疤痕的意愿,专家团队为她制定了详细的内镜下分次取石方案。据介绍,由于毛发团缠绕紧密,并包裹着黏液和食糜,常规器械难以奏效。医疗团队不断创新操作方法,组合使用电圈套器、IT刀及自制器械,分块切割、钳取。在麻醉科和护理团队的密切配合下,专家团队经过数次手术、总时长超过40小时的努力,最终将毛发结石全部取出。据悉,IT刀是内镜下黏膜剥离术(ESD)中常用的高频电刀。最后一次手术后四天,小田顺利康复出院,恢复了正常生活。
在采访中,孟祥军提醒,如果青少年出现长期不明原因的腹痛、腹胀、食欲差、体重下降,要引起警惕。家长要注意孩子是否有啃咬、吞咽头发、指甲或其他异物的习惯性动作。这些问题行为可能与情绪心理相关,需要及早发现、科学干预。这位专家同时表示,胃结石患者若对外科手术有顾虑,可由专业医疗团队评估内镜治疗的可能性。(完)
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