成年患者食管异物临床特点分析256例

Clinical features of adult patients with esophageal foreign bodies: An analysis of 256 cases

目的:总结分析食管异物患者临床特点.方法:对2004-01/2012-01消化内镜中心诊治的食管异物成年患者进行回顾性分析,并对其临床资料特点进行统计分析.结果:共纳入256例患者,食管异物以食源性异物为主(95.7%),常见临床症状为异物梗阻感、吞咽困难、吞咽疼痛.老年患者(≥65岁)伴有食管基础疾病的比例明显高于18-65岁患者(27.6%、14.8%,P<0.05).有食管基础疾病的患者,异物以食糜为主(65.3%).而无食管基础疾病的患者异物以鱼骨、鸡骨等骨头为主(68.5%),对比有统计学差异(P<0.05).252例患者(98.4%)经内镜下治疗成功.结论:食管异物为临床常见疾病之一,治疗过程中需注意老年患者和/或有食管基础疾病的患者.内镜下治疗食管异物安全有效.

AIM： To summarize and analyze the clinical fea- tures of adult patients with esophageal foreign bodies.METHODS： Adult patients with esophageal foreign bodies who underwent endoscopy from January 2004 to January 2012 were analyzed ret- rospectively and their clinical characteristics were statistically analyzed.RESULTS： A total of 256 patients were enrolled in this study. Food bolus is the main type of foreign body （95.7%）. The top three symptoms were sensation of obstruction, dysphagia, and swallowing pain. Elderly patients （≥65 yearsold） were more likely to be associated with underlying esophageal diseases than patients be- tween 18-65 years old （27.6% and 14.8%, P 〈 0.05）. The major foreign body type was food boluses in patients with underlying esophageal diseases （65.3%） and bones （fish or chicken） in patients without underlying diseases （68.5%）. The success rate for foreign body removal by endoscopic management was 98.4% （252/256）.CONCLUSION： Esophageal foreign body is a clinically common disease. More attention should be paid to elderly patients or/and patients with underlying esophageal diseases. Endoscopic management of esophageal foreign bodies is safe and effective.