经内镜成功取出结直肠内误食的牙签：4例报告
Successfully endoscopic retrieval of ingested toothpicks in colorectum : a report of four cases.
作者信息
Tan L N, Tan Y Y, Liu D L
机构信息
Department of Gastroenterology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
出版信息
Acta Gastroenterol Belg. 2020 Apr-Jun;83(2):319-321.
BACKGROUND
Toothpick ingestion is a rare event, but due to the low efficacy of radiographic examination, it can induce severe complications including perforation, abscess, and sepsis.
CASE REPORT
Four patients with either defecation problems or abdominal/anal pain were admitted to our hospital. Colonoscopy showed all four cases had a toothpick impacted in the colorectal wall without perforation. Direct retrieval of the toothpick under endoscopy was achieved. All four patients were relieved and remained well during the follow-up.
CONCLUSION
Endoscopy is the most effective method to discover or retrieve ingested wooden foreign bodies when there are no severe complications.
背景
牙签摄入是一种罕见事件，但由于影像学检查效果不佳，它可引发包括穿孔、脓肿和败血症在内的严重并发症。
病例报告
四名有排便问题或腹部/肛门疼痛的患者入住我院。结肠镜检查显示所有四例患者的结直肠壁均有牙签嵌顿且无穿孔。在内镜下直接取出了牙签。所有四名患者均症状缓解，随访期间情况良好。
结论
当不存在严重并发症时，内镜检查是发现或取出摄入的木质异物的最有效方法。
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