摘要
目的:探讨不同种类的鼻腔鼻窦异物的诊断和治疗。方法:回顾性分析249例鼻腔鼻窦异物患者的临床资料,包括性别、年龄、异物的种类、存留时间、并发症及取出方法。前鼻镜下取出异物179例,其中170例直接取出,9例经鼻咽部脱落进入食管,经消化道排出。全身麻醉鼻内镜下取出异物70例(28.1%),其中65例纽扣电池直接取出,并清理坏死鼻中隔及鼻腔黏膜及软骨;鼻结石2例及筷子3例均由鼻内镜下取出。结果:本组鼻腔鼻窦异物以植物性异物为主(154例,61.8%),62例(24.9%)误诊。采用前鼻镜下直接取出异物179例(71.9%),全身麻醉鼻内镜下探取异物70例(28.1%);16例(6.4%)发生并发症。结论:详细询问病史和必要检查可以提高诊断正确率,鼻腔鼻窦异物重在预防。
Objective：Insertion of a foreign body in the nasal cavity is a very common incident in children.It is easily diagnosed,but the type of foreign body varies and the extraction can sometimes be difficult with risk of complications.The present study reported nasal foreign bodies diagnosed in emergency in our ENT department,with an update on the state of knowledge.Method：A prospective study between Feb 2013 to Sept 2015 included patients admitted to the ENT emergency unit for nasal foreign body.Data comprised age,gender,circumstances of discovery,symptoms,type of foreign body,extraction method and complications.Many patients required anterior rhinoscope for the diagnosis and removal（179/249,71.9%）,and 170 cases were directly removed and 9 cases were into alimentary canal;Most irregularly shaped objects were removed by a endoscope under general anesthesia（70/249,28.1%）,including button batteries（n=65）,nasal calculi（n=2）and chopsticks（n=3）.Result：The main types of foreign body were vegetal forms（61.8%）.The incident was discovered following nasal symptoms in 24.9%（n=62）.Extraction was easy by using forceps,micro-hooks or suction in 71.9% of cases（n=179）;nasal endoscopy was necessary in 28.1% of cases（n=70）,16 cases of patients with complications.Conclusion：Nasal sinuses foreign body on prevention,detailed history and make the necessary inspection,can improve the correct diagnostic rate.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2016年第3期233-234,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
儿童
鼻腔
鼻窦
异物
child
nasal cavity
paranasal sinuses
foreign bodies
