Foley管在儿童圆钝食管异物取出术中的应用

Application of Foley catheter in blunt esophageal foreign body removal surgery in children

目的探讨应用Foley管取出儿童食管异物的有效性和安全性。方法回顾性分析深圳市儿童医院耳鼻咽喉科近5年共496例儿童使用Foley管取出食管异物的手术方式、手术效果及并发症。结果496例患儿中440例经Foley管法取出;56例未能取出,其中49例复查X线检查发现异物进入下消化道经粪便排出,另外7例住院全麻下行硬质食管镜取出异物。所有患儿术后无食管穿孔、感染、误吸异物等并发症。结论Foley管法取出异物安全、高效、便捷、实用性强,在儿童圆钝食管异物治疗中具有明显的优越性。但异物嵌顿时间越长,嵌顿于食管中下段以及非硬币类圆钝异物取出成功率较低。

Objective To discuss the safety and efficacy of removing blunt pediatric esophageal foreign bodies with Foley catheter.Methods A total of 496 cases of esophageal foreign body removal with Foley catheter were retrospectively analyzed in Department of otorhinolaryngology,Shenzhen Children’s Hospital in recent 5 years.Results Of the 496 children,440 cases were successfully treated with Foley catheter,while 56 cases were not,in which 49 cases revealed that foreign bodies entered the lower digestive tract and were excreted through feces by examination of the repeated X-ray.And the other 7 cases of 56 cases took the surgery with rigid esophagoscopy under general anesthesia.No complications such as esophageal perforation,infection,aspiration of foreign bodies was observed in all postoperative cases.Conclusions The Foley catheter is safe,efficient,convenient and practical,which has obvious advantages in the treatment of children with blunt esophageal foreign bodies.However,the patients with longer incarceration time,incarceration in the middle and lower esophagus and the non-coin blunt foreign body show the lower success rates of the removal treatment.