下消化道食源性异物14例诊治分析

目的 探讨下消化道食源性异物的诊断和治疗方法.方法 回顾性分析2017-01—2020-12苏州市吴中人民医院普外科收治的14例下消化道食源性异物患者的临床资料,总结异物类型、位置、临床表现、治疗方法及预后.结果 14例食源性异物中,枣核6例,鱼骨5例,鸡骨1例,甲鱼骨1例,鱼钩1例.出现临床症状者12例(急腹症6例、...

Clinical diagnosis and treatment for food-borne foreign body in lower digestive tract

Objective To provide clinical diagnosis and treatment experience by analyzing and summarizing the clinical diagnosis and treatment of foodborne foreign bodies in the lower digestive tract.Methods Totally 14 cases of lower gastrointestinal foreign bodies were studied retrospectively,and the type,clinical presentation,location,treatment and prognosis were analyzed.Results Among the 14 cases,Six cases of jujube nucleus,5 fish bone,1 chicken bone,1 turtle bone,1 fish hook,12 clinical symptoms(6 acute abdomen,1 defecation,5 foreign body in jejunal section),5 ileac section 3 patients appendix,5 anal canal,2 laparoscopic surgery,3 endoscopic treatment,2 anoscopic surgery,and 3 using forceps removed directly at consulting room;Three postoperative complications(one abdominal wall incision hernia,one cohesive intestinal obstruction,and one perianal abscess)they were all recovered after treatment.Conclusion The lower digestive tract has no clinical manifestations in the early stage of swallowing,and the patient cannot clarify the nature or forget the history of misfood,and has hidden onset and easy misdiagnosis,which is challenging for clinical diagnosis and treatment.Full understanding of food-borne lower digestive tract foreign bodies has guiding value for the clinical diagnosis and treatment of similar diseases.