山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (1): 72-74.doi: 10.6040/j.issn.1673-3770.0.2014.275

• 论著 • 上一篇    下一篇

食管异物治疗20年经验分析

李茂才, 项轩, 李文明, 金童, 钱晔, 魏东敏, 孙睿杰, 刘大昱, 雷大鹏, 潘新良   

  1. 山东大学齐鲁医院耳鼻咽喉科/卫生部耳鼻咽喉科学重点实验室, 山东 济南 250012
  • 收稿日期:2014-08-18 出版日期:2015-02-16 发布日期:2015-02-16
  • 通讯作者: 雷大鹏。E-mail:leidapeng@sdu.edu.cn E-mail:leidapeng@sdu.edu.cn
  • 作者简介:李茂才。E-mail:limaocai81@163.com

Analysis of 20 years experience of treatment in esophageal foreign body

LI Mao-cai, XIANG Xuan, LI Wen-ming, JIN Tong, QIAN Ye, WEI Dong-min, SUN Rui-jie, LIU Da-yu, LEI Da-peng, PAN Xin-liang   

  1. Department of Otorhinolaryngology, Qilu Hospital of Shandong University; Key Laboratory of Otorhinolaryngology, Ministry of Health, Jinan 250012, Shandong, China
  • Received:2014-08-18 Online:2015-02-16 Published:2015-02-16

PDF (PC)

593

摘要： 目的 分析食管异物的临床特征、诊断方法、治疗及预后,总结严重并发症原因。方法 1993至2012年治疗食管异物415例,术前均行胸部透视或者上消化道钡餐透视检查,继后采用气管插管全麻,行食管镜检查异物取出术412例,经开胸异物取出术后转胸外科治疗3例。结果 该组病例并发食管黏膜损伤206例,并发食管穿孔48例,纵膈脓肿3例。415例患者均治愈出院,无死亡病例。结论 食管异物是耳鼻咽喉科常见急诊之一,具有腐蚀性的新型异物有增多趋势,若不及时处理易出现并发症, 甚至危及生命。食管镜检查异物取出术是治疗食管异物的有效方法。

关键词: 食管, 食管镜检查, 食管穿孔, 异物, 纵膈脓肿

Abstract: Objective To analyze the clinical characteristics, diagnosis, treatment and prognosis of patients with esophageal foreign body. Methods Clinical data of 415 cases with esophageal foreign body from 1993 to 2012 were reviewed. Chest fluoroscopy or upper gastrointestinal barium meal examination were performed preoperatively in all patients. Among them, 412 patients underwent further esophagoscope examination to remove foreign bodies and. 3 patients were referred to thoracic surgery. Results There were 206 cases of esophageal mucosa injury and 48 cases of esophageal perforation and 3 cases of concurrent mediastinal abscess. All the 415 patients recovered well. Conclusion Esophageal foreign body is one of the common emergency in the department of otolaryngology. In order to prevent the complications, timely treatment is essential. Esophageal endoscopy is an effective method to treat esophageal foreign body.

Key words: Foreign bodies, Esophagus, Mediastinal abscess, Esophageal perforation, Esophagoscopy

中图分类号: 

  • R768.3
[1] Al-Sebeih K, Abu-Shara K A, Sobeih A. Extraluminal perforation complicating foreign bodies in the upper aerodigestive tract[J]. Ann Otol Rhinol Laryngol, 2010, 119(5):284-288.
[2] Marco De Lucas E, Sadaba P, Lastra Garcia-Baron P, et al. Value of helical computed tomography in the management of upper esophageal foreign bodies[J]. Acta Radiol, 2004, 45(4):369-374.
[3] Luk W H, Fan W C, Chan R Y, et al. Foreign body ingestion: comparison of diagnostic accuracy of computed tomography versus endoscopy[J]. J Laryngol Otol, 2009, 123(5):535-540.
[4] Alrazzak B A, Al-Subu A, Elitsur Y. Etiology and management of esophageal impaction in children: A review of 11 years[J]. Avicenna J Med, 2013, 3(2):33-36.
[5] Liu Y C, Zhou S H, Ling L. Value of helical computed Tomography in the early diagnosis of esophageal foreign bodies in adults[J]. Am J Emerg Med, 2013, 31(9):1328-1332.
[6] 毛弈韬, 聂智樱,杨福伟,等.食管异物引起严重并发症的临床分析[J].临床耳鼻咽喉头颈外科杂志,2012,26(24):1111-1115. MAO Yitao, NIE Zhiying, YANG Fuwei, et al. The clinical analysis of severe complicaions induced by esophageal foreign bodies[J]. Clin Otorhinolaryngol Head Neck Surg, 2012, 26(24):1111-1115.
[7] Schmidt S C, Strauch S, Rsch T, Management of esophageal Perforations[J]. Surg Endosc, 2010, 24(11):2809-2813.
[8] 黄选兆,汪吉宝,孔维佳.实用耳鼻咽喉头颈外科学[M].北京:人民卫生出版社,2011:574-576.
[9] Akram J, Amin F M, Toft J G, et al. Treatment of foreign body impactions in oesophagus[J]. Ugeskr Laeger, 2013, 175(10):640-643.
[10] Martínez-Criado Y, Millán López A, Valladares J C, et al. Esophageal Esophageal impaction of button batteries in childhood. How to avoid tragedy[J]. Cir Pediatr, 2013, 26(3):142-145.
[11] 李建房,赵新涛.纤维喉镜用于食管检查 209 例[J].山东大学耳鼻喉眼学报,2012,26(2):75-79. LI Jianfang, ZHAO Xintao. Fiberoptic laryngoscopy to examine the esophagus in 209 cases[J]. J Otolaryngol Ophthalmol Shandong Univ, 2012, 26(2):75-79.
[1] 陈鸣,俞雪飞. 浅谈伴有变应性鼻炎的慢性鼻窦炎的治疗[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 18-22.
[2] 罗铮铮,杜宝文,徐志坚. 瓷片异物致食管穿孔、颈部气肿、纵膈气肿一例并文献复习[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 93-96.
[3] 张艳廷,薛金梅,李彤,赵长青. 影像导航辅助鼻内镜下取出贯穿眼眶、筛窦和鼻中隔金属异物1例[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 37-38.
[4] 吴博,胡国华. 异物致颈部脓肿三例并文献复习[J]. 山东大学耳鼻喉眼学报, 2017, 31(1): 100-102.
[5] 孙娜综述,陈晓平审校. 咽喉反流与耳鼻咽喉科疾病[J]. 山东大学耳鼻喉眼学报, 2016, 30(6): 85-89.
[6] 贾岩峰,杨春伟,宋富春,杨相立,王林,刘吉祥. CO2激光联合质子泵抑制剂治疗复发性声带突肉芽肿的疗效观察[J]. 山东大学耳鼻喉眼学报, 2016, 30(5): 106-109.
[7] 温鑫,苏金柱,王娟. 支气管异物术后炎性肉芽肿2例[J]. 山东大学耳鼻喉眼学报, 2016, 30(4): 113-114.
[8] 李晓明,宋琦,李红霞,陶振峰,申宇鹏,肖淑芬. 胸大肌肌皮瓣在侵犯下咽晚期头颈鳞癌手术切除术后缺损修复中的应用[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 4-9.
[9] 李文明,魏东敏,孙睿杰,钱晔,刘大昱,解光,雷大鹏,潘新良. 下咽癌侵犯颈段食管的治疗[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 15-19.
[10] 李泽文,郭俊宇,周洁,严福波,杨志敏,丁珠华. 胃食管反流病与喉癌关系的Meta分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 40-46.
[11] 周锋,王兴君,赵军,章少彬. 咽异物感伴有咽喉反流患者抗反流治疗的临床观察[J]. 山东大学耳鼻喉眼学报, 2016, 30(3): 29-31.
[12] 王海,苟栋明,陈伟. 经口吹气治疗幼儿鼻腔异物45例疗效分析[J]. 山东大学耳鼻喉眼学报, 2016, 30(1): 61-63.
[13] 高滢, 王正辉, 常会敏, 吴彩芹, 寇晓会, 许珉. 小儿气管支气管异物2000例[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 39-42.
[14] 李永团, 修海波, 王宁宁, 辛露. 食管薄层CT扫描诊断颈段食管异物及不同治疗方法的选择[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 45-48.
[15] 李兆生, 许振跃, 沈伟林, 黄前进. 食管异物并发气胸经胸腔闭式引流及食管镜下异物取出1例[J]. 山东大学耳鼻喉眼学报, 2015, 29(6): 84-86.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发