Wrona R, Betkowski A, Olechnowicz H
Oddziału Otolaryngologicznego Wojewódzkiego Szpitala Zespolonego Nr 1 w Rzeszowie.
Otolaryngol Pol. 1997;51 Suppl 25:341-4.
The authors presented 4 cases of patients with a foreign body in the esophagus, which has been tried to remove by means of fiberoscopy and rigid esophagoscopy. The fiberoptic endoscopy has failed either as a diagnostic method or as a therapeutic one. The classical esophagoscopy has turned out to be much better in both cases. The fiberoscopy is a valuable diagnostic and therapeutic procedure in a lot of diseases of digestive tract. Especially it is useful in order to remove some foreign bodies from the esophagus, but at the same time it fails when removing big foreign bodies (e.g. parts of false teeth, large bones). In these cases rigid esophagoscopy is the only effective method when performed under endotracheal anesthesia and with esophageal muscles relaxation.
作者报告了4例食管异物患者,曾尝试通过纤维内镜检查和硬式食管镜检查将异物取出。纤维内镜检查无论是作为诊断方法还是治疗方法均告失败。而经典的食管镜检查在这两种情况下都表现得好得多。纤维内镜检查在许多消化道疾病中是一种有价值的诊断和治疗手段。特别是在从食管取出某些异物时很有用,但同时在取出大的异物(如假牙部件、大骨头)时会失败。在这些情况下,硬式食管镜检查是唯一有效的方法,需在气管内麻醉和食管肌肉松弛的情况下进行。