Hopkins潜窥镜与套管钳联合硬质食管镜治疗小儿食管异物63例
Chinese Journal of Rural Medicine and Pharmacy(2015)
Abstract
目的:观察Hopkins潜窥镜与套管钳联合硬质食管镜取食管异物的效果。方法食管异物患儿63例,均在全麻下采用Hopkins潜窥镜与套管钳联合硬质食管镜取食管异物。结果异物成功取出61例(96.8%);另外2例(3.2%)术前检查为硬币,术中未找到异物,术后复查 X 线胸片示硬币已入胃中,后随大便排出。术中食管穿孔1例(1.6%),食管黏膜损伤9例(14.8%),术后经抗感染、留置胃管鼻饲饮食、抑酸药等治疗后好转出院。术中均未发生食管黏膜再次损伤。误咽异物种类:硬币36例(57.1%);尖锐金属异物13例(20.6%),其中金属玩具4例,图钉、刀片、曲别针、电池各2例,铁钉1例;非金属异物14例(22.2%),其中塑料玩具4例,枣核3例,鸡骨、排骨、药片包装各2例,食物团1例。结论 Hopkins潜窥镜与套管钳联合硬质食管镜取食管异物位置精确,安全,且效果满意。
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