71例食管异物临床分析

Chinical analysis on 71 cases with foreign bodies in esophagus

目的分析食管异物的发病因素及治疗的相关问题.方法回顾性分析1996年1月～2005年5月收治的食管异物71例发病与治疗情况,并探讨相关问题.结果本组15例经药物治愈,占21.1%;55例在硬质食管镜下行食管异物取出术,占77.5%;1例在直达喉镜下取食管异物.1例术后出血800ml,余无严重并发症发生,并观察到发病至就诊时间与住院日呈正比.结论发病后早诊、早治是预防食管异物发生严重并发症的保证.

Objective To analyze the associated etiological factors of foreign bodies in esophagus and the therapeutic problems for this lesion. Methods A retrospective study was carried out among 71 cases with foreign bodies in esophagus through careful analysis on their clinical data to explore the associated problems with etiology and therapy. Results Among this group of cases, 15 patients were cured by medicinal therapy （21. 1%）, 55 were cured by surgical procedures under esophagoscope （77.5 % ）, and 1 cured by surgical procedures under direct laryngoscope （1.4 % ）. One case was complicated with postoperative bleeding at a total volume about 800ml and the others were not seen with any severe complications. Moreover, a tendency was observed in this group of cases with a positive proportion of the period gap between the time lesion attacking and the date consulting their doctors to the duration hospitalizing. Conclusion Early diagnosis and treatment is extremely important for cases with such a lesion.