摘要
患者,女,51岁,因＂误吞鱼刺致咽痛6h＂于2015年2月入院。硬管喉内镜未见明显异物,胃镜检查食管入口未见异物。咽喉部CT（2mm薄层）扫描示：杓部上方0.5cm咽后间隙内长约2.5cm条状高密度影,与咽后壁基本平行。矢状位重建示：鱼刺与喉咽后壁约1cm,冠状位重建示：鱼刺与水平夹角约30°（图1）,无脓肿形成。全身麻醉下气管插管,支撑喉镜暴露喉咽后壁并固定,
Summary Fish bones are the most common pharyngeal foreign bodies encountered in the ENT emergency. Many fish bones may be buried in the surrounding soft tissue of the pharynx and larynx. Any delayed treatment for these foreign bodies may cause catastrophic complications. We present a ease of 5J-year-old woman who had an ingested fish bone migrating to the retropharyngeal space. We used spiral Computed tomography scanning （CT, taken at intervals of 2mm） with dimensional reconstruction for the accurate location diagnosis and surgical plan- ning. We treated successfully before any complication by transoral Laser CO2 mierosurgerv.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第19期1747-1748,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
喉镜
激光
咽部
异物
laryngoscopes
lasers
foreign bodies
