内镜下治疗食物团块导致的食管异物嵌顿的临床效果

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摘要目的研究消化内镜治疗食物团块导致的食管异物嵌顿的临床效果。方法回顾性分析安徽省亳州市人民医院2018年1月至2021年6月因食管内食物团块嵌顿就诊的患者，术前常规检查，予以内镜干预治疗。统计所有患者的异物种类、合并症、麻醉率、住院率、并发症发生率。结果本研究共回顾分析了62例符合条件的患者。其中,食物团块嵌顿于食管上段17例、中段25例、下段20例。嵌顿的食物团块为动物肉质41例、馒头8例、果蔬6例、面筋4例、其他3例。内镜检查发现合并食管病变的有28例，其中食管癌19例、良性食管狭窄5例、反流性食管炎2例、食管裂孔疝1例、嗜酸粒细胞性食管炎1例。62例患者中，共17例给予了静脉麻醉，13例患者入院进一步检查及治疗。所有患者均于内镜治疗下解除嵌顿，共发现8例黏膜糜烂、4例黏膜溃疡、3例黏膜轻度渗血，无严重并发症出现。结论食管内食物团块异物嵌顿的内镜下治疗成功率高，有较强的安全性及可靠性，严重不良事件的发生率较低。

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	徐晓莉闫碧春

关键词 ：消化内镜, 食管异物, 食物团块, 临床效果

Abstract：Objective To study the clinical effect of digestive endoscopy in the treatment of esophageal foreign body incarceration caused by food clumps. Methods A retrospective analysis was performed on the patients who visited the hospital due to food mass incarceration in the esophagus from January 2018 to June 2021 in the People’s Hospital of Bozhou. Patients were given preoperative routine examination and endoscopic intervention. The foreign body types, comorbidities, anesthesia rate, hospitalization rate, and complication rate of all patients were counted. Results A total of 62 eligible patients were retrospectively analyzed. Among them, 17 cases of food clumps were incarcerated in the upper esophagus, 25 cases in the middle, and 20 cases in the lower esophagus. The incarcerated food clumps were 41 cases of animal meat, eight cases of steamed bread, six cases of fruits and vegetables, four cases of gluten, and three cases of other cases. Endoscopy revealed 28 cases with esophageal lesions, including 19 cases of esophageal cancer, five cases of benign esophageal stricture, two cases of reflux esophagitis, one case of hiatal hernia, and one case of eosinophilic esophagitis. Among the 62 patients, 17 cases were given intravenous anesthesia, and 13 cases were admitted to hospital for further examination and treatment. All patients were relieved of incarceration under endoscopic treatment. A total of eight cases were found to have mucosal erosions, four cases of mucosal ulcers, and three cases of mild mucosal oozing. No serious complications occurred. Conclusion Endoscopic treatment of esophageal food clumps incarcerated by a foreign body has a high success rate, strong safety and reliability, and a low incidence of serious adverse events.

Key words： Gastrointestinal endoscopy Esophageal foreign body Food clumps Clinical effect

引用本文:

徐晓莉闫碧春. 内镜下治疗食物团块导致的食管异物嵌顿的临床效果[J]. 中国医药导报, 2022, 19(14): 130-132,137.
XU Xiaoli YAN Bichun. Clinical effect of endoscopic treatment of esophageal foreign body incarceration caused by food clumps. 中国医药导报, 2022, 19(14): 130-132,137.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I14/130

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