咽部鱼刺异物516例临床诊治体会

目的:探讨咽部鱼刺异物的诊断和巧取方法。方法:总结分析516例咽部鱼刺异物发生的最多的年龄段、异物的好发部位,检查异物的操作顺序及各部位异物的钳取方法和操作注意事项。结果:口咽异物都一次取出;下咽异物一次取出301例,10例咽反射敏感,在纤维喉镜下全部取出。无1例并发症发生。结论:咽部异物病史明确,绝大部分能作出正确诊断,处理简单,但医生的仔细检查、临床经验及操作技巧是提高本病疑难病例诊治率的关键。

Objective：To probe into the diagnosis of fishbone forgign bodies of the throat and the skillful retching methods.Methods：We summarized and analyzed 516 examples of fishbone foreign bodies and the most age bracket of problem that would happen.Also we analyzed the operation order of checking the foreign bodies and the method of fetching the forgign bodies of every position and the precautions of operation.Results：We took out the foreign bodies in the mouth and throat once.There were 301 examples of taking out the foreign bodies that had been swallowed with one time. There were 10 examples of the throat launching sensitively.And the foreign bodies had all been taken out under the fibre laryngoscopes.There wasn＇t a complication happening.Conclusion：The medical history of foreign bodies of throat was clear.We can make correct diagnosis in majority.The problem was simple to deal with,but the careful checks,clinical experience and operation skill of the doctors were the key to the improvement of making a diagnosis and giving treatment rate of difficult case of a disease.