| 苟雅雯,叶飞,钱凯,徐翔,张开光,王业涛.食管异物患者临床特征及治疗的回顾性研究[J].中国临床保健杂志,2023,26(3):363-366. |
| 食管异物患者临床特征及治疗的回顾性研究 |
| Retrospective study on clinical characteristics of esophageal foreign bodies |
| 投稿时间：2023-04-19 |
| DOI：10.3969/J.issn.1672-6790.2023.03.017 |
| 中文关键词: 食管 异物 体征和症状 胃镜检查 回顾性研究 |
| 英文关键词: Esophagus Foreign bodies Signs and symptoms Gastroscopy Retrospective studies 〖FL |
| 基金项目:国家自然科学基金青年项目(81903096) |
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| 中文摘要: |
| 目的 探讨食管异物的临床特征及治疗方法以提高该病的诊治水平。方法 回顾性分析2017年12月1日至2020年12月31日中国科学技术大学附属第一医院(安徽省立医院)胃镜治疗的509例食管异物患者临床资料及治疗方法,对患者的基本情况,异物的种类、大小、形状、长度和嵌顿的位置,治疗的成功率和并发症进行分析。结果 男女发病比例为254∶255、成年人(97.3%)、无食管疾病(86.8%),鱼刺及禽类骨头(73.7%)、异物≤2.5 cm(96.7%)、长型(70.5%)、嵌顿时长≤24 h(92.5%)、食管上段(73.1%),成功取出(95.6%)、未取出(4.4%)、发生并发症(0.4%),使用异物钳(90.4%)。结论 食管异物是常见急症之一,多发生于成年人,异物以鱼刺及禽类骨头居多,应及时予以胃镜治疗。 |
| 英文摘要: |
| Objective To investigate the clinical features and treatment of esophageal foreign body (FBs) in order to improve the level of diagnosis and treatment.Methods The clinical data and treatment methods of 509 patients with FBs treated by gastroscopy in The First Affiliated Hospital of University of Science and technology of China (Anhui Provincial Hospital) from December 1,2017 to December 31,2020 were analyzed retrospectively.Clinical data included the basic information of the patient,FB type,FB size,FB shape,FB length and position of incarceration,the success rate and complications of gastroscopy treatment.Results The incidence of the disease was the same in male and female,adult (97.3%),no esophageal disease (86.8%),fish bone and poultry bone (73.7%),length of foreign body ≤2.5 cm (96.7%),long shaped (70.5%),incarceration duration ≤24 h (92.5%),upper esophagus (73.1%),successful removal (95.6%),no removal (4.4%) and complications (0.4%) occurred,use of foreign body forceps (90.4%).Conclusions Esophageal foreign body usually occurs in adults,the majority of FBs are fish bones and poultry bones and should be treated by gastroscope in time to avoid complications. |
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