Foley管法在取出儿童圆钝食管异物中的价值和安全性  

Value and efficacy of Foley catheter removal of blunt pediatric esophageal foreign bodies

作　　者：亚森江.阿布都热依木 古扎丽努尔.尼扎木丁 买买提依明.牙生 曲亚明[1] 亚力坤.亚生 

机构地区：[1]新疆医科大学第一附属医院耳鼻喉科,乌鲁木齐830054 [2]喀什地区第一人民医院耳鼻喉科,新疆喀什844000

出　　处：《新疆医科大学学报》2013年第9期1347-1350,共4页Journal of Xinjiang Medical University

基　　金：新疆医科大学第一附属医院循证医学专项基金(2009-XZ-6)

摘　　要：目的探讨Foley管法取儿童食管异物的有效性和安全性。方法回顾性分析新疆医科大学第一附属医院耳鼻喉科2010年5月-2013年5月17例儿童用Foley管法取出食管异物的操作方法、效果及并发症。结果 17例食管异物中16例为金属异物,1例为扁平石头。16例金属异物当中硬币类11例,金属钮扣2例,钮扣电池1例,装饰环1例,吊坠1例。异物停留位置在食管第二狭窄处7例,胸廓入口处6例,食管第一狭窄处4例。通过Foley管顺利取出16例,取出失败并掉入胃内2d后排出体外1例。所有患儿均未发生进食时疼痛、出血或呼吸困难等并发症。结论 Foley管法安全、高效、经济、快速,适于取儿童钝圆、扁平食管异物。Objective To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esopha- geal foreign bodies. Methods Analyze our first 17 cases of pediatric esophageal foreign bodies removed by Foley catheter method with respect of the efficacy, removal methods and complications. We also reviewed related literature and discussed the background, current status and technical matters that need attention of this method. Results In three year period between May 2010 and May 2013, in 16 out of 17 children, blunt radiopaque foreign bodies that impacted in the esophagus were successfully removed by a Foley cath- eter. There were no complications. In one patient, the foreign body was advanced into stomach and came out with stool 2 days later. Conclusion The technique is safe, rapid and cost--effective procedure and ap- plicable for blunt, flat foreign bodies impacted in the esophagus.

关 键 词：食管异物 FOLEY管 儿童 

分 类 号：R76[医药卫生—耳鼻咽喉科]