应用Foley管取出小儿食管异物121例

Application and curative effect of Foley catheter in the removal of esophageal foreign bodies in children

目的探讨应用Foley管治疗小儿食管光滑异物的疗效及其影响因素。方法回顾分析121例应用Foley管治疗的小儿食管光滑异物患者的临床资料。结果121例食管光滑异物中,成功取出异物108例(89.3%),平均操作时间6.2min,其中7例出现鼻出血、唇黏膜损伤等轻微并发症,未发生严重并发症。球形异物、异物阻塞时间超过24h和伴食管疾病史者治疗成功率分别为60.0%(9/15)、75.0%(9/12)、53.3%(8/15),与相对应组比较差异有统计学意义(P<0.05)。结论Foley管治疗小儿食管光滑异物安全、有效、操作简单、可重复,异物形状、阻塞时间和食管疾病史可影响其疗效。

Objective To explore the efficacy of Foley catheter in removing esophageal smooth foreign bodies in children and the related influencing factors. Methods Data of 121 pediatric patients with esophageal smooth foreign bodies who underwent the removal with Foley catheter were analyzed. Results Extraction was performed successfully in 108 （89.3%） of 121 cases. The mean time of the procedure was 6.2 rain. No major complications happened. Only 7 cases encountered minor complications including epistaxis and mucosal injury of lips. The success rate for patients with globose foreign bodies, with impacted history longer than 24 h and with a pre-existing history of esophageal diseases was 60% （9/15）,75% （9/12）and 53.3% （8/15） respectively, all with significant difference versus the corresponding control groups（P 〈 0. 05 ）. Conclusions Removal of esophageal smooth foreign bodies in children by Foley catheter is a safe, effective, simple and repeatable technique. But the shape of foreign bodies, duration of impaction and the history of pre-existing esophageal diseases may affect the success rate.