颈侧切开术在颈段食管异物取出中的应用  

Application of lateral cervical incision to the removal of the cervical esophageal foreign body

作　　者：刘斌[1] 江育玲[1] 彭建辉[1] 罗德保[1] 杨宁[1] 

机构地区：[1]郴州市第一人民医院耳鼻咽喉科,湖南郴州423000

出　　处：《中国耳鼻咽喉颅底外科杂志》2011年第4期268-271,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨颈侧切开术治疗颈段食管异物的适应证和临床诊疗要点。方法回顾性分析2001年1月～2011年3月行颈侧切开术治疗25例颈段食管异物患者临床资料。25例患者中21例发生食管穿孔,其中食管穿孔并发颈部脓肿18例,3例为贯穿性异物未并发颈部脓肿;嵌顿性颈段食管异物4例。结果 25例患者均经颈侧切开手术治疗后痊愈出院。3例患者出现声音嘶哑,2例患者半年内恢复,1例未恢复。2例气管切开者均在住院期间拔除气管套管。结论颈段食管异物穿孔并颈部脓肿形成和贯穿性异物和嵌顿性异物经食管镜未能取出者应为颈侧切开术良好适应证。Objective To investigate the indication and clinical application of lateral cervical incision to the removal of the cervical esophageal foreign body.Methods The clinical data of 25 patients suffering from esophageal foreign body and treated with lateral cervical incision from Jan 2001 to March 2011 was analyzed retrospectively.In these 25 cases,21 had esophageal perforation（with cervical abscess in 18 and without abscess in 3）.Four cases with impacted foreign body had no esophageal perforation.Results All 25 cases were cured through lateral cervical incision.Three cases had postoperative hoarseness and among them two got completely recovered within 6 months.Two cases with tracheotomy were decannulated during hospitalization.Conclusion Lateral cervical incision should be indicated in the management if cervical esophageal foreign body with esophageal perforation and cervical abscess,penetrating foreign body without cervical abscess,or some impacted foreign body without esophageal perforation.

关 键 词：食管 异物 食管穿孔 外科手术 

分 类 号：R767.91[医药卫生—耳鼻咽喉科] R768.4[医药卫生—临床医学]