咽及食管腔外异物24例临床分析

Extraluminal foreign body originated from pharynx and esophagus(24 cases report)

目的:总结咽及食管腔外异物的临床特征、诊断和治疗经验。方法:回顾性分析24例咽及食管腔外 异物患者的临床资料。结果:22例手术取出异物,1例异物自动排出,1例死亡。结论:咽、食管腔外异物临床少 见,在有异物史后,如患者发生呕血、腔外邻近间隙积血,或腔外组织间隙有顽固性炎症反应及脓肿,均表示有腔 外异物的可能,影像学检查是主要诊断手段,一旦确诊,应及时处理,手术是惟一有效的治疗方法。

Objective:To summarize the symptoms, various diagnostic procedures, and therapy of extraluminal foreign body originated from pharynx and esophagus(EFBOPE).Method:Twenty-four patients with EFBOPE were retrospectively reviewed.Result:Twenty-two cases were removed surgically, 1 case was spontaneous expulsion, 1 case died.Conclusion:EFBOPE is seldom seen in the clinical.diagnosis of EFBOPE should be considered whenever haematemesis or heamorrhage, inflammation or abscess in parapharyngeal space outside of pharynx and esophagus are presented after ingesting foreign body. Radiography and computed tomography are main diagnostic tools. Surgical treatment is the only effective method for EFBOPE and mustbe performed in time.