Sautin Aleh, Marakhouski Kirjl, Pataleta Aleh, Sanfirau Kirill
Diagnostic Division, Republican Scientific and Practical Centre of Paediatric Surgery, Minsk 220013, Belarus.
World J Clin Pediatr. 2024 Jun 9;13(2):91275. doi: 10.5409/wjcp.v13.i2.91275.
The technological evolution of bronchoscopy has led to the widespread adoption of flexible techniques and their use for both diagnostic and therapeutic purposes. Currently, there is an active debate regarding the comparative efficacy and safety of rigid flexible bronchoscopy in the treatment of foreign body aspiration.
To evaluate our experience with tracheobronchial foreign body extraction using flexible bronchoscopy and provide a literature overview.
This was a single-centre retrospective study. Twenty-four patients were enrolled between January 2017 and January 2023. Medical records of patients aged below 18 years who were admitted to authors' affiliated institution with a suspected diagnosis of foreign body aspiration were collected from hospital's database to Microsoft Excel 2019. Data were analysed using MedCalc Statistical Software.
Patient ages varied from 9 months to 11 years. The median age was 23.5 months, 95% confidence interval (CI) 19.49-44.77. We observed age clustering in children with foreign body aspiration at our institution with three age subgroups: (1) 0-25 months; (2) 40-60 months; and (3) 120-140 months. We expectancy of an organic tracheobronchial foreign body was significantly higher in 0-25 months subgroup than that in older ones when subgroups 40-60 and 120-140 months were combined together (odds ratio = 10.0, 95%CI: 1.44-29.26, = 0.0197). Successful foreign body extraction was performed in all cases. Conversion to a rigid bronchoscope was not required in any of the cases. No major complications (massive bleeding, tracheobronchial tree perforation, or asphyxia) were observed.
Flexible bronchoscopy is an effective and safe method for tracheobronchial foreign body extraction in children.
支气管镜检查技术的发展促使柔性技术广泛应用于诊断和治疗目的。目前，关于硬质与柔性支气管镜检查在治疗异物吸入方面的相对疗效和安全性存在激烈争论。
评估我们使用柔性支气管镜进行气管支气管异物取出术的经验并提供文献综述。
这是一项单中心回顾性研究。2017年1月至2023年1月期间纳入了24例患者。从医院数据库收集入住作者所在机构且疑似诊断为异物吸入的18岁以下患者的病历，并录入到Microsoft Excel 2019中。使用MedCalc统计软件进行数据分析。
患者年龄从9个月至11岁不等。中位年龄为23.5个月，95%置信区间（CI）为19.49 - 44.77。我们观察到在我们机构中异物吸入儿童存在年龄聚集现象，分为三个年龄亚组：（1）0 - 25个月；（2）40 - 60个月；（3）120 - 140个月。当将40 - 60个月和120 - 140个月亚组合并在一起时，0 - 25个月亚组中有机气管支气管异物的预期发生率显著高于年龄较大的亚组（优势比 = 10.0，95%CI：1.44 - 29.26，P = 0.0197）。所有病例均成功取出异物。所有病例均无需转换为硬质支气管镜。未观察到重大并发症（大出血、气管支气管树穿孔或窒息）。
柔性支气管镜检查是儿童气管支气管异物取出术的一种有效且安全的方法。
