经气管镜气管内取出困难异物治疗方法的回顾性分析  

Retrospective analysis of electronic bronchoscopy in treatment of difficulty tracheal foreign body

作　　者：齐菲[1] 王慧霜[1] 张曙[1] 苏宪灵[1] 陈良安[1] 

机构地区：[1]解放军总医院呼吸科,北京100853

出　　处：《国际呼吸杂志》2015年第10期762-765,共4页International Journal of Respiration

摘　　要：目的回顾性分析解放军总医院呼吸科49例取出困难的气管内异物的治疗方法。方法收集2010年3月至2014年10月解放军总医院呼吸科收治的49例气管异物临床资料，进行回顾性分析。结果49例气管异物患者有71．4％发生在右侧支气管，有4例误诊，异物种类以动物骨头、花生等食物为主，病理为慢性炎及肉芽组织，用常规活检钳不易取出，后经过氩等离子体凝固、鳄口钳、CO2冷冻术、剪刀等治疗手段将异物通过气管镜顺利取出。结论气管异物是呼吸科的常见病，有时单纯的钳夹很难将异物取出，需要联合多种治疗手段。Objective To analyse the treatment methods in 49 patients with difficulty tracheal foreign body in the Department of Respiratory Medicine of General Hospital of PLA. Methods The data of 49 patients with tracheal foreign body in our hospital from March 2010 to October 2014 were retrospectively analysed. Results In 49 cases of tracheal foreign body, 71.4%occurred in the right bronchus,four cases were misdiagnosed. The foreign bodies were mainly animal bones, peanut and many other kinds of foods. Pathology features were chronic inflammatory and granulation tissue. All the foreign bodies were not easy to remove by conventional biopsy forceps. They were successfully moved with argon plasma coagulation,alligator clamp,CO2 cryoprobe, scissors, and other treatments. Conclusions Tracheal foreign body is a common disease in department of respiration. Sometimes it is difficult to remove foreign material only by clamps. We need a variety of joint treatments.

关 键 词：气管异物 氩等离子体凝固 CO2冷冻术 气管镜 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]