内镜治疗儿童上消化道异物30例临床分析

目的: 探讨内镜治疗儿童上消化道异物的方法、经验及技巧。方法: 对30例儿童(<12岁)上消化道异物行急诊内镜检查和治疗,咽喉部局麻下用成人细径胃镜进行操作,运用各种异物器械取异物。结果: 30例儿童32件异物,非全麻下取异物28例,全麻下取异物2例;食管异物19例,胃内异物9例,十二指肠异物2例。29例31件异物经内镜成功取出,仅1例1件异物进入小肠未能取出,成功率96.7%。除1例在操作过程中出现一过性呼吸抑制,余无其它并发症。结论: 内镜治疗儿童上消化道异物简便、安全、有效,可作为首选治疗方法。

Endoscopy in treatment of foreign bodies of the esophagus and upper gastraintestinal tract in children:A report of 30 cases

Objective:To investigate the methods and techniques in treatment of the esophagus and upper gastraintestinal tract in children with endoscopy.Methods:The data of 30 children with upper gastrointestinal tract foreign bodies between June 2000 and June 2004 were summarized retrospectively.All the cases were examined and treated with emergency endoscopy.The foreign bodies were taken out under general anesthesia or laryngopharynx local anesthesia with all kinds of medical instruments.Results:Of the 30 children(32 pieces of foreign bodies),the foreign bodies were taken out under non-general anesthesia in 28 cases and under general anesthesia in two cases.Nineteen pieces of foreign bodies were in the esophagus,9 in the stomach and 2 in the duodenum.Thirty one pieces of foreign bodies were successfully removed from 29 children,leaving no complications,bun one piece of foreign body which was located in the small intestine in one child failed to be taken out.The successful rate was 96.7%.Only one child showed transient breath inhibition and no other complications occurred in the operating process.Conclusions:Endoscopy therapy,which is simple,safe and effective should be the first choice for children patients with upper gastrointestinal tract foreign bodies.