颈深部鱼刺异物3例诊治体会及文献复习

Diagnosis and management of fishbone foreign body in the deep neck: three case reports and literature review

目的 探讨颈深部鱼刺异物的临床表现、诊断及手术方式体会。方法 回顾性分析3例颈深部鱼刺异物患者的病例资料,并复习相关文献,总结其诊断及治疗方法。结果 鱼刺是上消化道最常见的异物之一,咽、食管异物是耳鼻咽喉科最常见的急诊。尖锐异物或者停留时间长的异物常可引起咽部及食管黏膜损伤,继发感染,若诊治不当或处理不及时,可导致严重并发症,因此尽早取出异物非常重要。结论 警惕鱼刺异物进入颈深部软组织内的可能性,选用合适的影像学方法进行确诊和定位,手术为首选治疗方式。

Objective To investigate the clinical manifestation, diagnosis, treatment, and operation of fishbone foreign body in deep neck. Methods A retrospective review of three patients who were treated for a fishbone foreign body in the deep neck. The relevant literature were reviewed to summarize their diagnosis and treatment experiences. Results A fishbone is one of the most common foreign bodies found in the upper gastrointestinal tract. Pharyngeal and esophageal foreign bodies are the most common emergency in the otorhinolaryngology(ear nose and throat(ENT)) department. Sharp foreign bodies or foreign bodies with long residence time can often cause pharyngeal and esophageal mucosal damage and secondary infection. If they are not treated properly or not treated in time, foreign bodies can lead to serious complications. Therefore, it is very important to remove the foreign bodies as soon as possible. Conclusion We must be alert to the possibility of a fishbone foreign body entering the deep soft tissue of the neck, and appropriate imaging methods for the diagnosis and location of the foreign body must be selected. Surgery is the first choice of treatment for removing the fishbone foreign body.