食管异物37例临床观察

目的 探讨不同类型食管异物病人的临床特点,为食管异物的合理化治疗提供借鉴.方法 回顾性总结37例食管异物的临床资料,并对影响治疗方案选择的关键因素及治疗结果进行统计分析.结果 37例食管异物病例中,所有病人入院后均经胸部CT检查或胃镜检查明确诊断;37例病人均合并不同程度食管损伤,17例食管异物病人行外科手术治疗后康复出院,20例病人经内镜治疗后康复出院.结论 内镜治疗是大部分食管异物病人的首选治疗方案,绝大部分可取得较好疗效,病人所需的住院时间较短.食管异物病人的就诊时间、异物存留部位、是否伴随并发症是食管异物手术治疗的重要危险因素.临床实践中要根据病人具体的病情选择合理的治疗方案.

Therapeutic strategy of esophageal foreign bodies

Objective To investigate the clinical characteristics of patients with esophageal foreign bodies (EFBs),in order to provide a reference for the reasonable treatment of EFBs.Methods We retrospectively summarized the clinical records of 37 patients with EFBs,and made statistics analysis for the major factors that influenced the selected therapeutic plans for EFBs.Results All of the 37 patients got a definitive diagnosis from CT scan imaging studies or gastroscopy examination;all of the 37 patients suffered from esophageal injury in varying degrees,17 patients recovered by surgical treatment,and 20 patients recovered by endoscopy therapy.Conclusions Endoscopy therapy is the preferred treatment of EFBs for most patients,and most of them can achieve satisfactory therapeutic results and shorter hospital stay.Duration of impaction,location of EFBs,complications associated with EFBs were risk factors of surgical interventions in patients with EFBs.In clinical practices,we should select reasonable therapeutic plans for EFBs based on the conditions of individual patient.