上消化道异物的特点及其并发症的危险因素分析

Characteristics of foreign bodies in upper gastrointestinal tract and analysis of its risk factors for complications

目的总结上消化道异物的临床特点并分析其所致并发症的危险因素。方法回顾性分析该院上消化道异物患者的临床资料,研究其并发症发生的危险因素。结果 (1)上消化道异物的类型以枣核多见,异物最常见的部位为食管上段;(2)通过Logistic回归分析得出上消化道异物所致并发症的危险因素为:异物存在的时间≥12 h(OR=9.04,95%CI:2.91~28.04;P=0.000)及边缘锐利(OR=7.95,95%CI:2.09~30.21;P=0.002)。结论异物存在的时间≥12 h及其边缘锐利是上消化道异物导致并发症的危险因素。

Objective To summarize the clinical characteristics of foreign bodies in the upper gastrointestinal tract and analyze its risk factors for complications. Methods We retrospectively analyzed the medical data of the patients who were diagnosed of foreign body impaction in the upper gastrointestinal tract, then analyzed its risk factors of complications. Results The date pits were the most common type of foreign bodies and upper esophagus were the most common locations in upper gastrointestinal tract; In Logistic regression analysis, risk factors for complications were the duration of impaction that longer than 12 hours （OR^ = 9.04, 95%CI： 2.91 - 28.04; P = 0.000） and the sharpness of foreign bodies＇ edge （OR^ = 7.95, 95% CI： 2.09 - 30.21; P = 0.002）. Conclusion The duration of impaction that longer than 12h and sharpness of foreign bodies＇ edge are the risk factors for complications.