食管异物诊治174例临床分析  

Experience in Diagnosis and Treatment of 174 Cases of Esophageal Foreign Body

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作  者:张文清 王正 ZHANG Wen-qing;WANG Zheng(Otolaryngology Department,Shanghai Songjiang District Center Hospital,Shanghai 201600,China)

机构地区:[1]上海市松江区中心医院耳鼻喉科,上海201600

出  处:《宜春学院学报》2022年第12期62-63,92,共3页Journal of Yichun University

摘  要:目的:收集我院食管异物患者174例,分析食管异物的发现、诊断及治疗方法。方法:选取2019-2021年在我院就诊且确诊食管异物的174例患者的临床资料,完善薄层CT及硬性喉镜检查,明确诊断后予以静脉麻醉下电子胃镜食管异物取出治疗。结果:174例患者行电子胃镜检查,其中取出异物170例。所有患者均治愈出院,随访2周,恢复良好。结论:食管异物需完善薄层CT及无痛电子胃镜检查避免漏诊,一旦发现尽早取出。该方法能有效降低漏诊率,安全性高,避免严重并发症,提高患者满意度及舒适度。Objective:A total of 174 patients with esophageal foreign body in our hospital were collected to analyze the discovery, diagnosis and treatment of esophageal foreign body.Methods:The clinical data of 174 patients diagnosed with esophageal foreign bodies who were treated in our hospital from January 1,2019 to November 1,2021 were selected.The thin-slice CT and rigid laryngoscopy were improved.All patients were treated with electronic gastroscope for esophageal foreign body removal under intravenous anesthesia.Results:All patients underwent electronic gastroscopy in the gastroscopic center while 170 foreign bodies were removed.All patients were cured and discharged after treatment, and recovered well after 2 weeks of follow-up.Conclusion:Esophageal foreign body should be improved with thin-slice CT and painless electronic gastroscopy to avoid missed diagnosis.Moreover, they should be removed as soon as possible.This method could effectively reduce the missed diagnosis rate with high safety.It also avoids serious complications and improves patient satisfaction and comfort.

关 键 词:食道异物 电子胃镜 薄层CT 异物取出 

分 类 号:R768.4[医药卫生—耳鼻咽喉科]

 

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