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)

985

被引次数

4

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] 郭荣昌,刘晴航,王洪增,孙树军. 巨大鼻眼贯通、颅底嵌顿异物损伤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(4): 135-141.
[2] 杨鸣,刘雪霞,张华. m6A识别蛋白IGF2BPs家族在头颈肿瘤中的研究进展[J]. 山东大学耳鼻喉眼学报, 2025, 39(3): 153-161.
[3] 吴玮,王磊,陈升,李连勇,王刚. 胃食管气道反流性疾病多学科研究及进展[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 1-14.
[4] 张利,张梦茹,阿丽米热·艾尔肯,邱忠民. 咽喉反流性疾病在常见呼吸道疾病中的作用[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 23-29.
[5] 胡志伟,陈冬,杨栋,吴继敏. 胃食管气道反流性疾病的诊断和治疗:基于2020~2024年相关共识和指南[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 30-38.
[6] 李逗,隋昕珂,杨小慢,郭红媛,王敏,钟长青,李连勇. 单纯咽喉反流患者食管下段黏膜细胞内镜及病理指标变化[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 85-90.
[7] 孙喆喆,王刚,王磊,李保卫,韩浩伦,刘红丹,张晓丽,吴玮. 咽喉反流性疾病不同体位反流模式的研究[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 91-95.
[8] 李逢将,魏婕,刘红丹,张丽,赵伟超,武娜娜,王磊,吴玮,王瑞娟. 老年肺炎患者胃食管反流病和咽喉反流性疾病25例[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 103-107.
[9] 周莹,王刚,王磊,张晓丽,韩浩伦,李保卫,孙喆喆,吴玮. 咽喉反流相关中耳炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2024, 38(6): 131-135.
[10] 唐秋双,白兴华. 从胃食管反流病角度分析胃与五窍的关系[J]. 山东大学耳鼻喉眼学报, 2024, 38(3): 102-108.
[11] 佘志强,刘继远. 不典型喉旁间隙异物1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 60-63.
[12] 张瑾,张辉,丁德涛,张永红,李笑颖,索安奇,李晓瑜,吴允刚. 颈深部鱼刺异物3例诊治体会及文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(1): 56-58.
[13] 宋晴,王晓勇,贾传亮,牟亚魁,宋西成. 左心房增大导致吞咽困难疑似食管异物1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 64-67.
[14] 黄桂亮,孙昌志,罗仁忠,谢志伟,童志杰,刘少锋. 硬性支气管镜联合纤维支气管镜在治疗小儿肺段支气管异物的应用[J]. 山东大学耳鼻喉眼学报, 2022, 36(1): 91-95.
[15] 王丽,袁虎威,潘宏光. 儿童鼻腔牙4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 16-20.
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