X线钡餐透视导引催吐法食管异物去除术探讨

Investigation on the removal of esophageal foreign bodies by X-ray barium meal fluoroscopy guided emetic therapy

目的探讨X线钡餐透视导引催吐法食管异物去除术的方法和临床价值。方法 27例X线钡餐透视证实食管异物滞留患者,通过X线钡餐透视导引,采用刺激咽后壁方法 ,诱发患者呕吐,利用呕吐物逆流冲击去除食管异物,观察效果。结果 27例食管滞留异物患者中,于食管第一狭窄16例,第二狭窄7例,第三狭窄4例。26例患者通过催吐法将异物吐出,1例位于第二狭窄处异物未能吐出。结论 X线钡餐透视引导催吐法食管异物去除术,方法简便、快速有效,能及时解除患者痛苦,是一种切实可行的具有较高临床应用价值的治疗方法 ,值得推广应用。

Objective To explore the memthod and clinical value of X-ray barium meat nuoroscopy guided emetic therapy for the removal of esophageal foreign bodies. Methods A total of 27 patients with esophageal foreign bodies retention confirmed by X-ray barium meal fluoroscopy were selected, through X-ray barium meal fluoroscopy guidance, emetic was induced by stimulation of posterior pharyngeal wall, and esophageal foreign bodies were removed by countercurrent impact of vomit, the effects were observed. Results In 27 patients with esophageal foreign bodies retention, 16 cases were the first stricture, 7 cases were the second stenosis, and 4 cases were the third stenosis. In 26 cases, the foreign bodies were exhaled quickly by emetic therapy. One case could not exhale the foreign bodies at the second stenosis. Conclusion The method of X-ray barium meal fluoroscopy guided emetic therapy for the removal of esophageal foreign bodies is simple, rapid and effective, and can relieve the pain of patients in time. It is a feasible and effective treatment method with high clinical value, and worthy of popularization and application.