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目的探讨如何更好地诊断与治疗食管异物,避免严重并发症的发生。方法回顾性分析本院2007年5月到2014年4月食管异物内镜诊治经验。结果本组102例食管异物患者中,异物顺利取出98例,另有4例经内镜送入胃内后经肛门排出。成功率100%。无死亡病例。结论食管异物为急症,必须及时处理。内镜下取出食管内异物为首选的处理方法,且操作轻柔、灵巧,可预防严重的并发症发生。在经内镜下取异物失败或不适合内镜下取出的异物应手术处理并彻底引流。
Objective To explore how to diagnose and treat esophageal foreign bodies better and avoid serious complications. Methods A retrospective analysis of our hospital from May 2007 to April 2014 endoscopic diagnosis and treatment of esophageal foreign body experience. Results In this group of 102 patients with esophageal foreign bodies, foreign bodies were successfully removed 98 cases, and another 4 cases were sent to the stomach by endoscopy after anal discharge. Success rate of 100%. No deaths. Conclusion Esophageal foreign body is an emergency and must be treated promptly. Endoscopic removal of esophageal foreign body is the preferred treatment, and gentle operation, can prevent serious complications. Foreign bodies that have failed or are unsuitable for endoscopic removal should be surgically removed and thoroughly drained.