胃镜下取食管异物临床资料分析

The clinical analysis of 50 cases of foreign bodies in oesophagus treated by endoscope

目的探讨食管异物的临床特点及治疗方法。方法对50例发现食管异物患者观察年龄分布、异物类型、嵌顿部位、临床特点及治疗方法。结果年龄在41～80岁占多数(84%),异物类型以动物性异物多见(70%),多嵌于食管上段、中段(98%),成功取出48例,占96%,患者多伴胸骨后疼痛、吞咽困难等不适。结论胃镜下异物钳取术仍是目前首选方法。

Objective This essay mainly concerns both the clinical features and the methods of treatment of the foreign bodies in the oesophagus.Methods From 2007 to June 2009,there were 50 cases with foreign bodies in the oesophagus receiving the treatment in our hospital,which contained 23 male cases and 27 female cases.We analyzed these cases by observing the distribution of the age,the type of the foreign bodies,the position of the incarceration and the different clinical features.Results Based on these,we found that most cases were between the age of 41 and 80,with the percentage of 84%,on the other hand,about 70% cases were caused by the animal bones,and meanwhile the foreign bodies were more freguently found in the upper and middle of the oesophagus.Although 96% cases were treated successfully,the patients would still feel difficult while swallowing,and sometimes with an ache behind the breastbone.Conclusion From our point of view,we draw the conclusion that the Endoscope Therapy is definitely the best to extract the foreign bodies in the oesophagus.