食管异物经胃镜取出疗效的回顾性分析  

作　　者：谢汶甫 韦明勇[1] 彭薛 张姗[1] 杨艳 石小琼[1] 

机构地区：[1]四川省科学城医院,四川绵阳621900

出　　处：《临床医药文献电子杂志》2020年第82期6-7,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的回顾性分析食管异物经胃镜取出的疗效。方法回顾性分析2019年1月至2019年12月在四川省科学城医院消化内镜中心行经胃镜食管异物取出术的患者81例,认真统计记录患者性别、患者年龄、异物种类、是否行无痛麻醉、嵌顿部位及并发症方面的情况,进行对比和总结分析。结果食管异物多发生于中老年患者,占70.4%(57/81),最小年龄3岁;与性别无明显关系,男女占比分别为53.1%、46.9%;以鱼刺、鸡骨头、鸭骨头等动物性异物居多,占95.1%(77/81),其他异物有枣核2例、铝箔片1例、含包装药片1例;以普通胃镜行异物取出为主,占66.7%(54/81);大部分嵌顿于食管上段,占88.9%(72/81);并发症以食管粘膜损伤为主81.5%(66/81),少见溃疡或穿孔。结论食管异物多发生于中老年患者,以动物性异物为主,高发部位为食管上段,并发症以食管粘膜损伤为主,少见溃疡及穿孔,大部分能经普通胃镜取出。Objective Retrospective analysis of the efficacy of esophageal foreign matter removed by gastroscopy.Methods Retrospective analysis of 81 patients who underwent gastroscopy esophageal optology removal at the center of the hospital in Sichuan Province from January 2019 to December 2019,and carefully recorded the patient's gender,patient age,species species,painless anesthesia,inlay and complications,and made a comparative and summary analysis.Results Esophageal foreign bodies occurred more frequently in middleaged and elderly patients,accounting for 70.4%(57/81),the minimum age of 3 years old;Examples,aluminum foil 1 case,including packaging tablets 1 case,to ordinary gastroscopic foreign object scan,accounting for 66.7%(54/81);Conclusion Esophageal foreign bodies occur mostly in middle-aged and elderly patients,mainly animallike foreign bodies,high incidence of the upper part of the esophagus,complications mainly to esophageal mucous membrane damage,rare ulcers and perforations,most of which can be taken out by ordinary gastroscopy.

关 键 词：食管异物中老年患者 高发部位 粘膜损伤 胃镜 

分 类 号：R73[医药卫生—肿瘤]