70°硬管喉镜在下咽部及食管上段异物取出术中的应用  

作　　者：孙国臣 熊高云[1] 卢虹伊 邹婷 王庆亮 俞明强 

机构地区：[1]浙江省立同德医院,310012

出　　处：《浙江临床医学》2024年第1期104-105,108,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省中医药科技计划项目(2021ZB053,2023ZL070)。

摘　　要：目的探讨70°硬管喉镜在下咽部及食管上段异物取出术中的应用效果。方法回顾性分析2022年1月至2023年2月198例下咽部及食管上段异物患者的临床资料。其中下咽部异物121例;食管上段异物77例。分析70°硬管喉镜在不同部位异物取出术中的应用效果。结果下咽部异物患者中经70°硬管喉镜取出120例,电子胃镜取出1例;食管上段异物患者中经70°硬管喉镜取出19例,电子胃镜取出41例;电子胃镜检查未找到5例,食管镜手术取出3例,自行脱落9例。在下咽部异物的类型中鱼刺最常见,占86.78%;在食管上段异物类型中,鱼刺占38.96%,各类骨头占41.56%。结论70°硬管喉镜在下咽部异物及食管上段异物的应用中具有方便快捷、视野暴露好等优势。对于异物暴露清楚且配合程度较好的患者,尤其是下咽部与食管第6颈椎平面以上异物可以优先考虑应用70°硬管喉镜取出。Objective To investigate the effect of 70°hard tube laryngoscope in the extraction of hypopharyngeal and upper esophageal foreign body.Methods A total of 198 patients diagnosed with hypopharyngeal and upper esophageal foreign body were collected from the Department of Otolaryngology,Tongde Hospital,from January 2022 to February 2023.Among them,121 cases were hypopharyngeal foreign body.There were 77 cases of upper esophageal foreign body.Analyzed the application effect of 70°hard tube laryngoscope in different parts of foreign body.Results In the patients with hypopharyngeal foreign body,120 cases were removed by 70°hard tube laryngoscope and 1 case by electronic gastroscope.Among the patients with upper esophageal foreign body,19 cases were removed by 70°hard tube laryngoscope.41 cases were removed by electronic gastroscopy,5 cases were not found by electronic gastroscopy,3 cases were removed by esophagoscopy,and 9 cases fell off spontaneously.Fish bone was the most common type of hypopharyngeal foreign body,accounting for 86.78%.Among the types of upper esophageal foreign body,fish bones accounted for 38.96%and various bones accounted for 41.56%.Conclusion 70°hard tube laryngoscope has the advantages of convenience,speed and nice visual field in the application of foreign bodies in hypopharyngeal and upper esophageal foreign body.For patients with clear exposure and good coordination of foreign bodies,especially foreign bodies above the plane of the hypopharynx and the 6th cervical vertebra of the esophagus,70°hard tube laryngoscope can be prioritized for removal.

关 键 词：食管异物 下咽部异物 电子胃镜 电子喉镜 硬管喉镜 

分 类 号：R768.32[医药卫生—耳鼻咽喉科] R766.8[医药卫生—临床医学]