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目的:总结咽及食管腔外异物的临床特征、诊断和治疗经验。方法:回顾性分析24例咽及食管腔外 异物患者的临床资料。结果:22例手术取出异物,1例异物自动排出,1例死亡。结论:咽、食管腔外异物临床少 见,在有异物史后,如患者发生呕血、腔外邻近间隙积血,或腔外组织间隙有顽固性炎症反应及脓肿,均表示有腔 外异物的可能,影像学检查是主要诊断手段,一旦确诊,应及时处理,手术是惟一有效的治疗方法。
Objective: To summarize the clinical features, diagnosis and treatment experience of pharyngeal and esophageal foreign body. Methods: A retrospective analysis of 24 cases of pharyngeal and esophageal foreign body in patients with clinical data. Results: Twenty-two cases of foreign bodies were removed by surgery, one case of foreign bodies was automatically discharged and one case died. Conclusions: Thoracic and esophageal extracapsular foreign bodies are rare in clinical practice. After some foreign body history, such as hematemesis, hemorrhage near the extracavitary space, intractable inflammatory reaction or abscess in the extracranial space, It may be that imaging examination is the main diagnostic tool, once diagnosed, should be promptly treated, surgery is the only effective treatment.