特殊类型气管支气管异物手术取出方法探讨

The study of removal methods on special type tracheobronchial foreign bodies

目的:探讨特殊类型气管支气管异物手术取出的有效方法。方法:针对不同的异物,研制和借用一些特殊器械,采用多种不同的治疗方法,取出特殊类型气管支气管异物61例,分析各类特殊类型气管支气管异物手术特点。结果:61例患者支气管异物分别使用异物钩(31例)、笔帽螺丝取出器(11例)、异物网(13例)、特制微抱式三爪倒齿异物钳(3例)、细倒齿式食管异物钳(3例)等均顺利取出。无明显并发症,无死亡病例。除已行气管切开的5例外,其他患者未行气管切开。结论:根据各类特殊类型异物特点和患者的情况设计相应的器械和选择适宜的手术方法是保证治疗成功的关键。

Objective： To investigate the available operation method of special type tracheobronchial foreign bodies removal. Method： Sixty one patients of special type tracheobronchial foreign bodies were extracted with some special instruments and methods depend on forign body types. The features of operation on different kinds of foreign bodies were anlyzed. Result：All patientswere operated successfully by using foreign body hook （31 cases）, pencil or writing screw brush extracter （11 cases）, foreign body cage （13 cases）, slender inverse claw esophagus foreign body clamp （3 cases） and so on. No complications and died cases were found. Only 5 patients were undertaken trachea incision before operation. Conclusion： Suitable instruments and technique chosed for every individual cases is the key to successful operation.