Wang Z X, Cao X M, Ge X Y, Zhang A B, Lu C, Bai X, Hou Q, Liu L F
Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100032, China.
Department of Otolaryngology, Dezhou People's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Feb 5;33(2):148-151. doi: 10.13201/j.issn.1001-1781.2019.02.013.
To explore the clinical characteristics and treatment methods of esophageal foreign body. The clinical data of 234 patients with esophageal foreign bodies admitted to our department from January 2015 to August 2018 were retrospectively analyzed, including course time, foreign body types, surgical methods, imaging manifestations and treatment related complications. The diagnosis of esophageal foreign bodies was confirmed by esophageal CT or esophageal barium meal X-ray examination before operation in 234 patients. Course time varied from 3 hours to 7 days, and the jujube nucleus was the most common food-borne foreign body.223 patients underwent esophagoscopic exploration and foreign body removal under general intravenous anesthesia, 11 of them had no definite esophageal foreign body, 22 had esophageal perforation and periesophagitis. After removal of foreign body, the nasogastric feeding tube was inserted. About 10 days later, the nasogastric feeding tube was removed when they got healthy. Nine cases underwent cervical abscess incision and drainage under general anesthesia. The average postoperative hospital day was 11 days. The rigid esophagoscopy is a safe and effective method for the esophageal foreign bodies. And neck abscess incision must be necessary,when they suffered from esophageal perforation with neck abscess and other serious complications.
探讨食管异物的临床特点及治疗方法。回顾性分析2015年1月至2018年8月我院收治的234例食管异物患者的临床资料,包括病程、异物类型、手术方式、影像学表现及治疗相关并发症。234例患者术前均经食管CT或食管钡餐X线检查确诊为食管异物。病程3小时至7天不等,枣核是最常见的食源性异物。223例患者在全身静脉麻醉下行食管镜探查及异物取出术,其中11例未发现明确食管异物,22例发生食管穿孔及食管周围炎。取出异物后留置鼻饲管,待病情好转约10天后拔除。9例患者在全身麻醉下行颈部脓肿切开引流术。术后平均住院日为11天。硬质食管镜检查是治疗食管异物的一种安全有效的方法。当患者发生食管穿孔合并颈部脓肿等严重并发症时,必须行颈部脓肿切开引流术。