摘要
目的探讨食管异物的临床特点和诊疗方法。方法复习2010年1月—2012年8月我院收治的278例食管异物病例,按异物种类、停留部位和手术方法等进行分类总结。结果胃镜下取出异物197例,硬质食管镜下取出异物64例,入胃经大便排除异物12例,直接喉镜下取出异物3例,转胸外科治疗1例,放弃治疗1例。结论根据食管异物的特点,选取相应的治疗方式,可获得更好的疗效;多层螺旋CT扫描三维重建在复杂食管异物的临床诊断、治疗中具有明显的优越性和实用价值。
Objective To explore the characteristics and treatments of esophageal foreign bodies. Methods From Jan. 2010 to Aug. 2012,278 cases of esophageal foreign bodies were treated in our hospital. They were classified and summarized accor ding to the type of object, time since ingestion, location of the object and method of surgery. Results Gastroscopic extraction of the object was successfully done in 197 cases, rigid esophagoscopic in 64, passed spontaneously in 12, direct laryngoscopic removal in three, one was transferred to thoracic surgery and one gave up treatment. Conclusion Selecting corresponding therapeutic modalities based on features of the foreign bodies, a better therapeutic efficacy can be obtained. Multi-slice ,piral computed tomo graphy with three-dimensional reconstruction possesses apparent superiority and practical value in clinical diagnosis and treatment of complicated cases.
出处
《齐鲁医学杂志》
2013年第5期454-456,共3页
Medical Journal of Qilu
关键词
食管
异物
体层摄影术
螺旋计算机
治疗
esophagus
foreign bodies
tomography, spiral computed
therapy
