摘要
目的总结我国西北地区食管异物的发病特点与诊疗方法,为该病的临床诊治提供经验。方法食管异物病人202例,对异物的种类、嵌顿位置、诊断方法、取出方式、相关并发症、住院时间进行分析。结果 202例食管异物包括枣核(61. 8%)、动物骨头(12. 9%)以及非食物性异物如假牙(9. 4%)、金属类(7. 4%)、硬币(5. 0%)等。食管异物嵌顿的最常见位置为食管入口处(65. 8%),诊断主要依赖食管造影(57. 9%)、胸部X线片(19. 8%)或内镜检查(16. 4%)。取出异物的方式以食管镜为主,共189例(93. 6%),其余为胃镜取出或手术治疗。出现并发症者26例,其中18例异物为枣核。结论枣核是食管异物的主要来源,其术后出现并发症的几率较高。
Objective To study clinical features of esophageal foreign body in northwestern China to improve the abilities of diagnosis and treatment for the disease. Methods Clinical data of 202 patients admitted in for esophageal foreign body was analyzed retrospectively. The general information of the patients were collected,and the types of foreign bodies,the location,diagnostic methods,methods of taking out and related complications,hospitalization days,et al were analyzed statistically. Results The types of esophageal foreign body included jujube pit（ 61. 8%）,animal bones（ 12. 9%） and non-food foreign bodies such as dentures（ 9. 4%）,metals（ 7. 4%） and coins（ 5. 0%）. It mainly occurred in the upper orifice of the esophagus（ 65. 8%）. Diagnostic methods were mainly consisted of esophageal angiography（ 57. 9%）,chest X-ray（ 19. 8%） and endoscopy（ 16. 4%）. Most of the patients（ 189,93. 6%） were treated with esophagoscopy. Altogether 26 cases presented with complications,and 18 of them were admitted in for jujube pit. Conclusion The main cause of esophageal foreign body is jujube pit,which the incidence of postoperative complications is higher than other foreign bodies.
作者
冯锦腾
范坤
张广健
付军科
高蕊
FENG Jinteng;FAN Kun;ZHANG Guangjian(Department of Thoracic Surgery,the First Affiliated Hospital of Xi＇an Jiaotong University of Shanxi Province,Xi＇an 710061,China)
出处
《临床外科杂志》
2018年第9期683-685,共3页
Journal of Clinical Surgery
关键词
食管异物
临床特点
枣核
esophageal foreign body
clinical features
jujube pit
