成年食管异物住院患者的临床分析  

Clinical analysis of adult hospitalized patients with esophageal foreign bodies

作　　者：谢洪[1] 尹金淑[1] 彭洪[1] 周晓红[1] 白云波[1] 姜国俊[2] 魏博 Hong Xie;Jin-shu Yin;Hong Peng;Xiao-hong Zhou;Yun-bo Bai;Guo-jun Jiang;Bo Wei(Department of Otolaryngology Head and Neck Surgery;Department of Gastroenterology;Department of Thoracic Surgery,Beijing Shijitan Hospital affiliated to CapitalMedical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院耳鼻咽喉头颈外科,北京100038 [2]首都医科大学附属北京世纪坛医院消化内科,北京100038 [3]首都医科大学附属北京世纪坛医院胸外科,北京100038

出　　处：《中国内镜杂志》2018年第8期46-51,共6页China Journal of Endoscopy

摘　　要：目的该研究旨在分析食管内异物住院患者的临床特征、手术方法、相关的并发症、术后住院时间以及多科协作的优势。方法回顾性分析71例食管内异物住院患者,将患者分为两组(A组,误食异物24 h内得到有效治疗;B组,误食异物超过24 h得到有效治疗)。比较两组患者的病历资料、食道异物的种类、并发症和术后住院时间方面的差异。结果最常见的异物为枣核、动物骨头和鱼骨。食管上段异物常见,其中A组比B组更常见。两组间的并发症发生率和术后住院时间存在明显差异。B组患者并发症发生率高,术后住院时间长,多科协作治疗能给患者提供更合适的治疗方法。结论大多数食管内异物能在内镜下取出,24 h内有效的治疗能减少并发症和缩短术后住院时间,消化内科、耳鼻喉科及胸外科多科协作能给患者提供有效安全的治疗。Objective To analyze the clinical characteristics, surgical methods, related complications, postoperative hospitalization time and the advantages of multidisciplinary collaboration in patients with esophageal foreign bodies. Methods A retrospective analysis of 71 cases of hospitalized patients with esophageal foreign bodies was made. The patients were divided into two groups（Group A, the effective treatment of foreign bodies within 24 hours of ingestion of foreign body; Group B, edible foreign bodies more than 24 hours to be given effective treatment）. The two groups were compared the differences of the clinic record data, the types of esophageal foreign bodies, the complications, the postoperative hospitalization time. Results The most common foreign bodies were jujube pits, poultry bones and fish bones. Foreign bodies were common in the upper esophageal segment, of which A group was more common than B group. The incidence of complications and the postoperative hospitalization time between the two groups were significantly different. Patients of Group B with higher incidence of complications, longer postoperative hospitalization stays. Multidisciplinary collaboration could provide the patients with the more appropriate treatment. Conclusions Most intra-esophageal foreign bodies can be removed under endoscope. Effective treatment within 24 hours can reduce the complications and shorten the postoperative hospitalization time. Multidisciplinary collaboration of Department of gastroenterology, otolaryngology and thoracic surgery can provide more effective and safer treatment for the patients with esophageal foreign bodies.

关 键 词：食管异物 内镜 成人 24h 多科协作 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]