食管义齿异物的特点和治疗——附3例报告  

Clinical characters and treatment of denture as a foreign body in esophagus: report of 3 cases

作　　者：陶源[1] 陆兴[1] 刘凤安[1] 胡洪义[1] 姚利[1] 

机构地区：[1]北京大学深圳医院耳鼻咽喉科,广东深圳518036

出　　处：《罕少疾病杂志》2005年第6期14-16,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨食管义齿异物的特点和治疗。方法对我院收治的3例食管义齿异物患者的临床特点、治疗过程作回顾性分析。结果3例患者男2例,女1例,年龄58～74岁。异物属单齿多卡环1例,多齿多卡环2例,大小2.0cm×3.0cm～3.0cm×4.5cm。异物位于食管入口处1例,食管中上段近第二狭窄处2例。发病至手术时间5～15小时。2例在气管插管全麻硬质食管镜下取出义齿,1例在表面麻醉食管镜下取出。结论食管义齿异物多带钩锐利,患者多是老年人,多合并全身性疾病。治疗在术前准备、麻醉、术中均应有针对性,以保证治疗中的安全。Objective To explore the clinical characters and treatment of denture as a foreign body in esophagus. Methods The clinical data of three patients with denture in esophagus were analyzed retrospectively. Results Among three cases, two were males and one was female. The patients＇ age ranged from 58 to 74 years old. The course of disease in three cases lasted 5 to 15 hours. The dentures with two-arm-clasps were lodged at the first isthmus in one case and close to the second isthmus in two cases. One patient had one artificial tooth and the other two had several artificial teeth, which size was 2.0 cm× 3.0 cm to 3.0cm × 4.5 cm. All dentures were fetched by esophagoscopy, two cases by general anesthesia and 1 by surface anesthesia. Conclusion Dentures are usually sharp and often affect older who are always troubled with system disease. It is necessary to make a proper countermeasure according to its characters to assure the safety of therapy.

关 键 词：食管异物 食管镜 义齿 术前麻醉 

分 类 号：R768.32[医药卫生—耳鼻咽喉科] R768.4[医药卫生—临床医学]