内镜治疗食管入口枣核异物嵌顿临床分析  

Clinical analysis of jujube seed in esophageal entrance and endoscopic treatment

作　　者：韩笑[1] 赵志峰[1] 麻树人[1] 杨卓[1] 张迎春[1] 孙亚男[1] 金晓龙[1] 张莉[1] 石戈[1] 施阳[1] 

机构地区：[1]沈阳军区总医院内窥镜科辽宁同慧消化疾病微创治疗研究所,辽宁沈阳110016

出　　处：《创伤与急危重病医学》2016年第5期303-305,共3页Trauma and Critical Care Medicine

摘　　要：目的探讨内镜治疗食管入口部枣核异物嵌顿的临床疗效以及操作技巧。方法回顾性分析2013年1月至2014年12月沈阳军区总医院内窥镜科诊断并治疗的食管入口部枣核异物患者87例的临床资料。结果本组87例患者食管入口部枣核异物均被成功取出。麻醉下治疗28例,咽部局部麻醉治疗59例。术前并发食管穿孔15例;术中取出枣核后发现食管穿孔2例;颈部感染1例,积极治疗后缓解。无出血和死亡病例。结论内镜下取出食管入口枣核异物嵌顿是一种安全、有效的治疗措施。Objective To explore the clinical curative effect and operation skills of endoscopic treatment in esophageal entrance within jujube seed. Methods A retrospective study was performed on 87 patients with esophageal entrance within jujube seed received endoscopic treatment in The General Hospital of Shenyang Military Command from January 2013 to December 2014. Results All 87 patients that were diagnosed jujube seed in esophageal entrance and jujube seed was taken out successfully by endoscopy. Phlebanesthesia endoscopy were performed on 28 cases and pharyngeal anesthesia were performed on 59 cases. There were 15 cases with preoperative esophageal perforation; 2 cases with esophageal perforation after taking out jujube seed and 1 case with neck infection. There was no bleeding or death. Conclusion Endoscopic treatment is a safe and effective treatment in patients with jujube seed in esophageal entrance.

关 键 词：食管 异物 内镜治疗 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]