12例扁桃体内异物的分析

Foreign Body in Tonsil:An Analysis of 12 Cases

目的总结扁桃体内异物诊治经验。方法收集12例扁桃体内异物患者的临床资料,均有进食鱼刺病史,病程(56.45±8.48)h;均有咽部异物感或咽部不适症状,3例患者有吞咽疼痛感。术前均行高分辨CT示扁桃体高密度影,全身麻醉插管后行扁桃体切除术。结果12例患者术中病检示扁桃体息肉或扁桃体结石。术后1个月10例患者咽异感症消失,治愈率为83.33%,其余2例咽异感症未见明显改善。结论对于有异物病史及咽异感症患者,高分辨CT示咽部高密度影,尤其是患者有进食鱼刺等异物病史,需要鉴别扁桃体结石等情况。

Objective To summarize the experience with diagnosis and treatment of foreign body in tonsil.Methods Clinical data of 12 patients with foreign body in tonsil were collected.All patients had pharyngeal foreign body sensation or discomfort with a history of eating fish bones for(56.45±8.48)hours.Three patients had odynophagia.Preoperative high-resolution CT showed high density shadow in the tonsil,and tonsillectomy was performed after intubation under general anesthesia.Results Pathological examination of the high density area revealed tonsillar polyps or stones in all patients.One month after operation,pharyngeal foreign body sensation disappeared in 10 patients(83.33%),but remained in the other 2 patients.Conclusion High-resolution CT shows high density shadow in pharynx in patients with foreign body history and pharyngeal foreign body sensation,especially in patients with history of eating fish bones and other foreign bodies.In addition,tonsil stones and other conditions should be identified.