直管电子喉镜下咽喉异物取出术826例临床分析

Throat Foreign Body Removal Surgery in 826 Cases under Video Laryngoscope of Straight Pipe

目的探讨直管电子喉镜下钳取咽喉异物的应用价值.方法回顾性分析利用storz直管电子喉镜经口进路对门诊咽喉部异物及怀疑有咽喉部异物患者826例的临床资料.结果 826例患者中802例发现有异物,并在镜下成功取出;24例未见异物的检查结果为咽喉部粘膜充血或粘膜溃疡,其中有7例见小血肿形成,经抗炎治疗1周后异物感症状消失,复查均未见异物遗留.结论经口进路在直管电子喉镜下探查或取出咽喉部异物具有成功率高、视野清晰、安全准确、病人痛苦少、简便快捷、无创等优点,值得推广应用.

Objective To investigate the application value of the throat foreign body removal with forcep under the video laryngoscope of straight pipe.Method We retrospectively analyzed the clinical data of 826 patients with confirmed or suspected throat foreign bodies who received removal surgery throat foreign bodies under storz video laryngoscope of straight pipe through the mouth.Results Among 826 patients,throat foreign bodies were found in 802 patients and and successfully removed under the video laryngoscope of straight pipe;no foreign bodies except throat mucosal congestion or mucous membrane ulcers were found in 24 patients,including 7 patients with small hematoma.A week later the foreign body sensation of symptoms disappeared by anti-inflammatory treatment.Review showed no foreign body left behind in the throat.Conclusions Exploration or removal of throat foreign bodies under video laryngoscope of straight pipe through oral route has many advantages such as high success rate,clear vision,ecurity,accuracy,less pain,easy and noninvasive operation.This technology should be widely applied.