儿童食管异物不同治疗方式的临床特点比较  

The clinical characteristics of different treatment in children with esophageal foreign bodies

作　　者：郭亚琼 于静[1] 高若飞 周方 李小芹 Guo Yaqiong;Yu Jing;Gao Ruofei;Zhou Fang;Li Xiaoqin(Department of Gastroenterology,Children′s Hospital Affiliated to Zhengzhou University,Henan Children′s Hospital,Zhengzhou Children′s Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州大学附属儿童医院消化内科河南省儿童医院郑州儿童医院,450052

出　　处：《中国小儿急救医学》2021年第5期393-396,共4页Chinese Pediatric Emergency Medicine

基　　金：河南省医学科技攻关(201702324)。

摘　　要：目的总结分析儿童食管异物不同治疗方式的临床特点。方法选取我院消化科2016年1月至2020年1月期间确诊为食管异物的246例患儿。根据处理方式不同分为内镜组及手术组,收集整理两组患儿的一般资料、临床特点等进行统计学分析。结果内镜组222例,手术组24例,手术率约为9.75%;两组患儿在性别、异物滞留位置方面相比,差异无统计学意义,但手术组患儿年龄(2.92±2.67)岁,小于内镜组(4.12±3.37)岁,差异有统计学意义(P=0.049);手术组食管异物滞留时间中位数29.10 h,长于内镜组中位数11.80 h,差异有统计学意义(P<0.001);手术组锐性异物占比(50.00%)高于内镜组(16.22%),且手术组腐蚀性异物占比(45.83%)高于内镜组(8.11%),差异均有统计学意义(P<0.001);手术组重度并发症占比(83.33%)高于内镜组(0.90%)(P<0.001)。结论手术组食管异物患儿发病年龄更小、异物滞留时间长;锐性异物及纽扣电池更易造成严重并发症,增加手术风险。Objective To summarize and analyze the clinical characteristics of different treatment in children with esophageal foreign bodies.Methods This study collected 246 children with esophageal foreign bodies in our hospital from January 2016 to January 2020,which was divided into endoscopic group and operative group.The general and clinical data of children treated with different treatment were collected and statistical analyzed.Results There were 222 children in endoscopic group and 24 children in operative group,respectively.The rate of surgery was 9.75%.There were no significant differences in gender and location of esophageal foreign bodies.However,the average age of operative group was(2.92±2.67)years,which significantly younger than that in endoscopic group(4.12±3.37)years(P=0.049).The residence time in operative group(median 29.10 h)was remarkable longer than that in operative group(median 11.80 h)(P<0.001).The proportion of sharpness(50.00%)and corrosive(45.83%)foreign bodies in operative group were more than those in endoscopic group[16.22%and 8.11%(P<0.001)].Moreover,the occurrence rate of major complication in operative group was 83.33%,which was dramatically higher than that in endoscopic group(0.90%)(P<0.001).Conclusion The younger and longer residence time of esophageal foreign bodies in children contribute to the rate of operative treatment.Additionally,the sharpness and corrosive foreign bodies increase the risk of surgery and serious complications.

关 键 词：食管异物 并发症 儿童 消化内镜 

分 类 号：R768.4[医药卫生—耳鼻咽喉科]